FACULTY MEDICAL GROUP OF LLUSM NPI 1679625156

NPI Information

FACULTY MEDICAL GROUP OF LLUSM is a transplant surgery in Riverside, CA. The provider is a surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee FACULTY MEDICAL GROUP OF LLUSM NPI is 1679625156. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3762 TIBBETTS ST
RIVERSIDE, CA
ZIP 92506-605
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 1/17/2007 and was last updated on 5/5/2009.

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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