Faculty Physicians And Surgeons Of Llusm in San Bernardino - Pediatrics

Faculty Physicians And Surgeons Of Llusm - NPI 1124077516

Faculty Physicians And Surgeons Of Llusm is a Pediatrics in San Bernardino, 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 1124077516. The last update date is 2019-07-19.

Faculty Physicians And Surgeons Of Llusm's current location address is 250 E Caroline St Ste J, San Bernardino, California. You can contact this provider via phone number 9096511900. The mailing address for Faculty Physicians And Surgeons Of Llusm is 250 E Caroline St Ste J, San Bernardino, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Faculty Physicians And Surgeons Of Llusm
Address 250 E Caroline St Ste J, San Bernardino, California
Phone Number 9096511900
Fax Number
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 1124077516
Provider Enumeration Date 2006-05-10
Last Updated Date 2019-07-19

Provider Mailing Address Detail

Address 250 E Caroline St Ste J
City San Bernardino
State California (CA)
Post Code 924083758
Phone Number 9096511900
Fax Number

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
GR006902H CA --

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FAQs about Faculty Physicians And Surgeons Of Llusm

What is the Faculty Physicians And Surgeons Of Llusm's 1124077516?

The Faculty Physicians And Surgeons Of Llusm's NPI (National Provider Identifier) Number is 1124077516. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Faculty Physicians And Surgeons Of Llusm is geographically located?

The Faculty Physicians And Surgeons Of Llusm is physically situated at the following location: 250 E Caroline St Ste J, San Bernardino, CA, 924083758.

What is the area of specialization for Faculty Physicians And Surgeons Of Llusm, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Faculty Physicians And Surgeons Of Llusm is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1124077516 to Faculty Physicians And Surgeons Of Llusm?

The Centers for Medicare & Medicaid Services assigned the 1124077516 to Faculty Physicians And Surgeons Of Llusm on 2006-05-10.

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.

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