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FACULTY PHYSICIANS AND SURGEONS OF LLUSM NPI 1376795369


NPI Information

NPI: 1376795369
Provider Name: FACULTY PHYSICIANS AND SURGEONS OF LLUSM
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization

CLIA Number: 05D2169590

Address:
1895 ORANGE TREE LN STE 102
REDLANDS, CA
ZIP 92374
Phone: (909) 558-2824
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FACULTY PHYSICIANS AND SURGEONS OF LLUSM is an otolaryngology in Redlands, CA. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. FACULTY PHYSICIANS AND SURGEONS OF LLUSM NPI is 1376795369. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1895 ORANGE TREE LN STE 102
REDLANDS, CA
ZIP 92374-822
Phone: (909) 558-2824

The provider's authorized official is Ricardo Peverini .
The authorized official title is President and has the following contact phone number (909) 558-7448.

The CLIA number assigned to this NPI record is 05D2169590 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/21/2008 and was last updated on 11/11/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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