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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0068911
—
CA
Enumeration date
05/25/2006
Last updated
02/27/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us