FACULTY PHYSICIANS AND SURGEONS OF LLUSM NPI 1093117962

NPI Information

FACULTY PHYSICIANS AND SURGEONS OF LLUSM is a neurology psychiatry neurology in Newport Beach, CA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. FACULTY PHYSICIANS AND SURGEONS OF LLUSM NPI is 1093117962. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

359 SAN MIGUEL DR
STE 105
NEWPORT BEACH, CA
ZIP 92660-812
Phone: (909) 558-2880

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 9/22/2014 and was last updated on 7/19/2019.

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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