FACULTY PHYSICIANS AND SURGEONS OF LLUSM; NPI #1700495363

Contact Information

FACULTY PHYSICIANS AND SURGEONS OF LLUSM

1850 N RIVERSIDE AVE STE 160
RIALTO, CA 92376-8056

Phone: 909-558-3016
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Body Imaging	2085B0100X
Diagnostic Neuroimaging	2085D0003X
Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology
Diagnostic Ultrasound	2085U0001X
Hospice and Palliative Medicine	2085H0002X
Neuroradiology	2085N0700X
Nuclear Radiology	2085N0904X
Pediatric Radiology	2085P0229X
Radiation Oncology	2085R0001X	92	Physician/Radiation Oncology
Radiation Oncology	2085R0203X
Radiological Physics	2085R0205X
Vascular & Interventional Radiology	2085R0204X	94	Physician/Interventional Radiology

Indicates primary specialty

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NPI Profile & details for FACULTY PHYSICIANS AND SURGEONS OF LLUSM

NPI #	`1700495363`
LBN Legal business name	FACULTY PHYSICIANS AND SURGEONS OF LLUSM
Authorized official	RICARDO PEVERINI - (PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/29/2020
Last updated	07/29/2020 - About 6 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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FACULTY PHYSICIANS AND SURGEONS OF LLUSM

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NPI Profile & details for FACULTY PHYSICIANS AND SURGEONS OF LLUSM

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