FACULTY MEDICAL GROUP OF LLUSM NPI 1619314168

NPI Information

FACULTY MEDICAL GROUP OF LLUSM is a transplant surgery in Rancho Mirage, CA. The provider is a surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee FACULTY MEDICAL GROUP OF LLUSM NPI is 1619314168. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

69844 HIGHWAY 111
SUITE A & B
RANCHO MIRAGE, CA
ZIP 92270-849
Phone: (909) 558-3636

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 5/23/2013 and was last updated on 5/23/2013.

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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