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FACULTY PHYSICIANS AND SURGEONS OF LLUSM NPI 1679090435


NPI Information

NPI: 1679090435
Provider Name: FACULTY PHYSICIANS AND SURGEONS OF LLUSM
Classification: Transplant Surgery - 204F00000X
Entity Type: Organization
Address:
16100 SAND CANYON AVE STE 220
IRVINE, CA
ZIP 92618
Phone: (909) 558-3636
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FACULTY PHYSICIANS AND SURGEONS OF LLUSM is a transplant surgery in Irvine, CA. The provider is a surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee FACULTY PHYSICIANS AND SURGEONS OF LLUSM NPI is 1679090435. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

16100 SAND CANYON AVE STE 220
IRVINE, CA
ZIP 92618-729
Phone: (909) 558-3636

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 8/23/2017 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
1204F00000XTransplant SurgeryYes

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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