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Organization
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
Active
Organization
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO PEVERINI MD (PRESIDENT)
(909) 558-7448
Entity
Organization
Contact information
Practice address
197 E CAROLINE ST, SAN BERNARDINO, CA 92408
(909) 558-2848
Mailing address
FILE NUMBER 54701, LOS ANGELES, CA 90074-4701
(909) 558-4000
(909) 651-4586
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
—
NULL
204F00000X
Transplant Surgery Physician
Primary
—
—
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
—
NULL
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
—
—
207RT0003X
Transplant Hepatology Physician
—
NULL
207RT0003X
Transplant Hepatology Physician
—
—
207YP0228X
Pediatric Otolaryngology Physician
—
NULL
207YP0228X
Pediatric Otolaryngology Physician
—
—
2080T0004X
Pediatric Transplant Hepatology Physician
—
NULL
2080T0004X
Pediatric Transplant Hepatology Physician
—
—
2086S0120X
Pediatric Surgery Physician
—
NULL
2086S0120X
Pediatric Surgery Physician
—
—
231H00000X
Audiologist
—
NULL
231H00000X
Audiologist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
364ST0500X
Transplantation Clinical Nurse Specialist
—
NULL
364ST0500X
Transplantation Clinical Nurse Specialist
—
—
Other
Enumeration date
09/05/2017
Last updated
08/12/2025
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