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Contact Information

FACULTY PHYSICIANS AND SURGEONS OF LLUSM
4646 BROCKTON AVE STE 103
RIVERSIDE, CA92506-0103
 Phone: 909-558-3111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Audiologist

231H00000X 64 Audiologist
 

Facial Plastic Surgery

207YS0123X 04 Physician/Otolaryngology
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Otolaryngic Allergy

207YX0602X 04 Physician/Otolaryngology
 

Otolaryngology/Facial Plastic Surgery

207YX0905X 04 Physician/Otolaryngology
 

Otology & Neurotology

207YX0901X 04 Physician/Otolaryngology
 

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
 

Sleep Medicine

207YS0012X 04 Physician/Otolaryngology
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for FACULTY PHYSICIANS AND SURGEONS OF LLUSM

NPI # 1326665415
LBN Legal business name FACULTY PHYSICIANS AND SURGEONS OF LLUSM
Authorized official RICARDO PEVERINI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/06/2020
Last updated 07/06/2020 - 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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