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Organization
FACULTY MEDICAL GROUP OF LLUSM
Active
Organization
FACULTY MEDICAL GROUP OF LLUSM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO PEVERINI MD (PRESIDENT FACULTY MEDICAL GROUP OF)
(909) 558-7448
Entity
Organization
Contact information
Practice address
25865 BARTON RD, STE 101, LOMA LINDA, CA 92354-3895
(909) 558-3636
Mailing address
FILE NUMBER 54701, LOS ANGELES, CA 90074-4701
(909) 558-3111
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
—
CA
Other
Enumeration date
05/25/2006
Last updated
02/27/2009
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