# FACULTY PHYSICIANS AND SURGEONS OF LLUSM

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891960415
- **Authorized official:** RICARDO PEVERINI MD (PRESIDENT)
- **Authorized official phone:** (909) 558-7488

## Contact information

- **Practice address:** 44274 GEORGE CUSHMAN CT STE 208, TEMECULA, CA 92592-5945
- **Practice address phone:** (909) 558-2822
- **Mailing address:** FILE NUMBER 54701, LOS ANGELES, CA 90074-0001
- **Mailing address phone:** (909) 558-3111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | — |

## Other

- **Enumeration date:** 04/24/2008
- **Last updated:** 07/19/2019