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Contact Information

FACULTY PHYSICIANS AND SURGEONS OF LLUSM
27871 MEDICAL CENTER RD
STE 140
MISSION VIEJO, CA92691
 Phone: 909-522-2799
 Fax: 909-651-4586
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for FACULTY PHYSICIANS AND SURGEONS OF LLUSM

NPI Number 1063842987
LBN Legal business name FACULTY PHYSICIANS AND SURGEONS OF LLUSM
Authorized official RICARDO PEVERINI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/13/2013
Last updated 07/19/2019 - About 7 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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