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Organization

FACULTY PHYSICIANS AND SURGEONS OF LLUSM

Active
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Organization

FACULTY PHYSICIANS AND SURGEONS OF LLUSM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICARDO PEVERINI MD (PRESIDENT)
(909) 651-5582
Entity
Organization

Contact information

Practice address
1782 W PARK AVE, REDLANDS, CA 92373-3115
(909) 651-1700
(909) 651-1751
Mailing address
FILE NUMBER 54701, LOS ANGELES, CA 90074-4701
(909) 651-4352

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
07/05/2023
Last updated
07/05/2023
About Stedi
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