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FACULTY PHYSICIANS AND SURGEONS OF LLUSM NPI 1295900439


NPI Information

NPI: 1295900439
Provider Name: FACULTY PHYSICIANS AND SURGEONS OF LLUSM
Classification: Urology - 2088P0231X
Entity Type: Organization

Specialization: Pediatric Urology

Address:
11370 ANDERSON ST STE 2050
LOMA LINDA, CA
ZIP 92354
Phone: (909) 558-3111
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FACULTY PHYSICIANS AND SURGEONS OF LLUSM is a pediatric urology urology in Loma Linda, CA. The provider is surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). FACULTY PHYSICIANS AND SURGEONS OF LLUSM NPI is 1295900439. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11370 ANDERSON ST STE 2050
LOMA LINDA, CA
ZIP 92354-450
Phone: (909) 558-3111

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 4/29/2008 and was last updated on 4/29/2008.


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
12088P0231XUrologyPediatric UrologyYes

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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