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Contact Information

FACULTY PHYSICIANS AND SURGEONS OF LLUSM
328 COMMERCIAL RD
SUITE 101
SAN BERNARDINO, CA92408-3766
 Phone: 909-558-3111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Medicine

2083X0100X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for FACULTY PHYSICIANS AND SURGEONS OF LLUSM

NPI # 1043260334
LBN Legal business name FACULTY PHYSICIANS AND SURGEONS OF LLUSM
Authorized official RICARDO PEVERINI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/10/2006
Last updated 09/22/2025 - About 9 months ago
Identifiers
CA Medicaid GR006902R
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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