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FACULTY PHYSICIANS AND SURGEONS OF LLUSM NPI 1700495363


NPI Information

NPI: 1700495363
Provider Name: FACULTY PHYSICIANS AND SURGEONS OF LLUSM
Classification: Radiology - 2085B0100X
Entity Type: Organization

Specialization: Body Imaging

Address:
1850 N RIVERSIDE AVE STE 160
RIALTO, CA
ZIP 92376
Phone: (909) 558-3016
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FACULTY PHYSICIANS AND SURGEONS OF LLUSM is a body imaging radiology in Rialto, CA. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. FACULTY PHYSICIANS AND SURGEONS OF LLUSM NPI is 1700495363. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1850 N RIVERSIDE AVE STE 160
RIALTO, CA
ZIP 92376-056
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) 651-5582.

The enumeration date for this NPI number is 7/29/2020 and was last updated on 7/29/2020.


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
12085B0100XRadiologyBody ImagingYes
22085N0700XRadiologyNeuroradiologyNo
32085N0904XRadiologyNuclear RadiologyNo
42085P0229XRadiologyPediatric RadiologyNo
52085R0001XRadiologyRadiation OncologyNo
62085R0202XRadiologyDiagnostic RadiologyNo
72085R0203XRadiologyTherapeutic RadiologyNo
82085R0204XRadiologyVascular & Interventional RadiologyNo
92085R0205XRadiologyRadiological PhysicsNo
102085U0001XRadiologyDiagnostic UltrasoundNo
112085D0003XRadiologyDiagnostic NeuroimagingNo
122085H0002XRadiologyHospice and Palliative MedicineNo

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.