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FACULTY PHYSICIANS AND SURGEONS OF LLUSM NPI 1306372073


NPI Information

NPI: 1306372073
Provider Name: FACULTY PHYSICIANS AND SURGEONS OF LLUSM
Classification: Preventive Medicine - 2083P0500X
Entity Type: Organization

Specialization: Preventive Medicine/Occupational Environmental Medicine

Address:
24785 STEWART ST
STE 111
LOMA LINDA, CA
ZIP 92350
Phone: (909) 558-8459
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FACULTY PHYSICIANS AND SURGEONS OF LLUSM is a preventive medicine/occupational environmental medicine preventive medicine in Loma Linda, CA. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. FACULTY PHYSICIANS AND SURGEONS OF LLUSM NPI is 1306372073. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

24785 STEWART ST
STE 111
LOMA LINDA, CA
ZIP 92350-721
Phone: (909) 558-8459
Fax: (909) 651-4586

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 5/2/2017 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12083X0100XPreventive MedicineOccupational MedicineNo
22083A0100XPreventive MedicineAerospace MedicineNo
32083B0002XPreventive MedicineObesity MedicineNo
42083C0008XPreventive MedicineClinical InformaticsNo
52083P0011XPreventive MedicineUndersea and Hyperbaric MedicineNo
62083P0901XPreventive MedicinePublic Health & General Preventive MedicineNo
72083S0010XPreventive MedicineSports MedicineNo
82083T0002XPreventive MedicineMedical ToxicologyNo
92083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental MedicineYes

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

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.