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Contact Information

FACULTY PHYSICIANS AND SURGEONS OF LLUSM
8599 HAVEN AVE STE 102&210
RANCHO CUCAMONGA, CA91730-4849
 Phone: 909-558-2806
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Adult Congenital Heart Disease

207RA0002X 11 Physician/Internal Medicine
 

Advanced Heart Failure & Transplant Cardiology

207RA0001X 11 Physician/Internal Medicine
 

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Critical Care Medicine

207VC0200X 16 Physician/Obstetrics & Gynecology
 

Gynecologic Oncology

207VX0201X 16 Physician/Obstetrics & Gynecology
 

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
 

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
 

Obstetrics

207VX0000X 16 Physician/Obstetrics & Gynecology
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for FACULTY PHYSICIANS AND SURGEONS OF LLUSM

NPI # 1568113827
LBN Legal business name FACULTY PHYSICIANS AND SURGEONS OF LLUSM
Authorized official RICARDO PEVERINI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/18/2022
Last updated 02/10/2022 - About 4 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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