FACULTY PHYSICIANS AND SURGEONS OF LLUSM NPI 1861892705

NPI Information

NPI: 1861892705
Provider Name: FACULTY PHYSICIANS AND SURGEONS OF LLUSM
Classification: Surgery - 2086S0120X
Entity Type: Organization

Specialization: Pediatric Surgery

Address:
901 SAN BERNARDINO RD
UPLAND, CA
ZIP 91786
Phone: (909) 558-4000
Get Directions

FACULTY PHYSICIANS AND SURGEONS OF LLUSM is a pediatric surgery surgery in Upland, CA. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. FACULTY PHYSICIANS AND SURGEONS OF LLUSM NPI is 1861892705. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

901 SAN BERNARDINO RD
UPLAND, CA
ZIP 91786-912
Phone: (909) 558-4000

The provider's authorized official is Ricardo Peverini .
The authorized official title is President and has the following contact phone number (909) 558-7445.

The enumeration date for this NPI number is 8/28/2014 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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	208000000X	Pediatrics		No
2	208600000X	Surgery		No
3	235Z00000X	Speech-Language Pathologist		No
4	363A00000X	Physician Assistant		No
5	363L00000X	Nurse Practitioner		No
6	2086S0120X	Surgery	Pediatric Surgery	Yes

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

NPI Synchronization or Removal

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