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Contact Information

FACULTY MEDICAL GROUP OF LLUSM
28062 BAXTER ROAD
MURRIETA, CA92563
 Phone: 909-558-3111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Sports Medicine

207PS0010X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for FACULTY MEDICAL GROUP OF LLUSM

NPI Number 1659677433
LBN Legal business name FACULTY MEDICAL GROUP OF LLUSM
Authorized official LISA WOLTER - (PROVIDER ENROLLMENT REP)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/27/2011
Last updated 01/27/2011 - About 15 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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