Faculty Physicians And Surgeons Of Llusm in Moreno Valley - Pediatrics
Faculty Physicians And Surgeons Of Llusm - NPI 1073563748
Faculty Physicians And Surgeons Of Llusm is a Pediatrics in Moreno Valley, California. Faculty Physicians And Surgeons Of Llusm practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Faculty Physicians And Surgeons Of Llusm is 1073563748. The last update date is 2019-07-19.
Faculty Physicians And Surgeons Of Llusm's current location address is 11441 Heacock St, Moreno Valley, California. You can contact this provider via phone number 9512475809 and fax number 9095583905. The mailing address for Faculty Physicians And Surgeons Of Llusm is 11441 Heacock St, Moreno Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Faculty Physicians And Surgeons Of Llusm |
|---|---|
| Address | 11441 Heacock St, Moreno Valley, California |
| Phone Number | 9512475809 |
| Fax Number | 9095583905 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Peverini Ricardo |
| Credentials | M.D. |
| Telephone Number | 9095587448 |
NPI Number Detail
| NPI Number | 1073563748 |
|---|---|
| Provider Enumeration Date | 2006-05-11 |
| Last Updated Date | 2019-07-19 |
Provider Mailing Address Detail
| Address | 11441 Heacock St |
|---|---|
| City | Moreno Valley |
| State | California (CA) |
| Post Code | 9255779070 |
| Phone Number | 9512475809 |
| Fax Number | 9095583905 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR006902L | CA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Faculty Physicians And Surgeons Of Llusm?
The Faculty Physicians And Surgeons Of Llusm has been issued the NPI (National Provider Identifier) 1073563748 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Faculty Physicians And Surgeons Of Llusm is physically located?
The Faculty Physicians And Surgeons Of Llusm is physically situated at the following address: 11441 Heacock St, Moreno Valley, CA, 9255779070.
What is Faculty Physicians And Surgeons Of Llusm's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Faculty Physicians And Surgeons Of Llusm is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 208000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1073563748 to Faculty Physicians And Surgeons Of Llusm?
The Centers for Medicare & Medicaid Services assigned the 1073563748 to Faculty Physicians And Surgeons Of Llusm on 2006-05-11.
As of what date were the Faculty Physicians And Surgeons Of Llusm's details last updated?
The information pertaining to the Faculty Physicians And Surgeons Of Llusm, including its address, specialty, and other details, was most recently updated on 2019-07-19.