Faculty Physicians And Surgeons Of Llusm

Pediatrics

Faculty Physicians And Surgeons Of Llusm is a Loma Linda, California based Pediatric center with medical specialization in General Pediatrics. It is located at 11234 Anderson St, Suite 1617, Loma Linda, California - 92354. They can be contacted on phone at 909-558-3111.
NPI number (Unique professional ID) for Faculty Physicians And Surgeons Of Llusm is 1477503407 which was assigned by NPPES on 11 May, 2006 and it was last updated on 19 Nov, 2019.
Faculty Physicians And Surgeons Of Llusm is a pediatrician who 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Faculty Physicians And Surgeons Of Llusm basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Faculty Physicians And Surgeons Of Llusm
Business Address:
Faculty Physicians And Surgeons Of Llusm address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :11234 Anderson St, Suite 1617
Loma Linda, CA, 92354
United States
Phone Number :909-558-3111
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1477503407
NPI Entity Type : Organization
First Enrolment Date : 11 May, 2006
Last Updated On : 19 Nov, 2019
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
Authorized Official Name :Ricardo Peverini
Authorized Official Credential :MD
Official Title or Position :PRESIDENT
Phone Number :909-558-7448
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Faculty Physicians And Surgeons Of Llusm are as mentioned. Primary taxonomy code for Faculty Physicians And Surgeons Of Llusm is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
207L00000XAnesthesiologyNo
207P00000XEmergency MedicineNo
2085R0202XRadiology Diagnostic RadiologyNo
208000000XPediatricsYes
Legacy Identifiers:
Other legacy medical identifiers of Faculty Physicians And Surgeons Of Llusm such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
GR0069023MEDICAIDCA
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :File Number 54701
Los Angeles, CA, 90074-0001
United States
Phone Number :909-558-3111
Fax Number :909-558-3905
Business Location:
Patients can refer following map for directions to Faculty Physicians And Surgeons Of Llusm practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.