FACULTY MEDICAL GROUP OF LLUSM NPI 1386875110

NPI Information

FACULTY MEDICAL GROUP OF LLUSM is a diagnostic radiology radiology in Loma Linda, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. FACULTY MEDICAL GROUP OF LLUSM NPI is 1386875110. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Faculty Medical Group Of Llusm-radiology.

The provider's business location address is:

25455 BARTON RD STE 107B
LOMA LINDA, CA
ZIP 92354-139
Phone: (909) 558-3016

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 enumeration date for this NPI number is 7/28/2009 and was last updated on 8/28/2009.

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:

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