FACULTY PHYSICIANS AND SURGEONS OF LLUSM NPI 1568113827

NPI Information

FACULTY PHYSICIANS AND SURGEONS OF LLUSM is an obstetrics gynecology in Rancho Cucamonga, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. FACULTY PHYSICIANS AND SURGEONS OF LLUSM NPI is 1568113827. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8599 HAVEN AVE STE 102&210
RANCHO CUCAMONGA, CA
ZIP 91730-849
Phone: (909) 558-2806

The provider's authorized official is Ricardo Peverini .
The authorized official title is President and has the following contact phone number (909) 651-5582.

The CLIA number assigned to this NPI record is 05D0862865 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/18/2022 and was last updated on 2/10/2022.

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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