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FACULTY MEDICAL GROUP OF LLUSM NPI 1952626137


NPI Information

NPI: 1952626137
Provider Name: FACULTY MEDICAL GROUP OF LLUSM

Doing Business As: LLU FACULTY MED. GR. /RADIOLOGY

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
81 HIGHLAND SPRINGS AVE STE 102
BEAUMONT, CA
ZIP 92223
Phone: (909) 558-3016
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FACULTY MEDICAL GROUP OF LLUSM is a diagnostic radiology radiology in Beaumont, 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 1952626137. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Llu Faculty Med. Gr. /radiology.

The provider's business location address is:

81 HIGHLAND SPRINGS AVE STE 102
BEAUMONT, CA
ZIP 92223-170
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 3/31/2010 and was last updated on 3/31/2010.


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
12085R0202XRadiologyDiagnostic RadiologyYes

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: 4/28/2024

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