Faculty Physicians And Surgeons Of Llusm
Pediatrics
Faculty Physicians And Surgeons Of Llusm is a Moreno Valley, California based Pediatric center with medical specialization in
General Pediatrics.
It is located at
11401 Heacock St, Suite 330, Moreno Valley, California - 92557-7908. They can be contacted on phone at
951-247-8697 and fax number 909-558-3905.
NPI number (Unique professional ID) for Faculty Physicians And Surgeons Of Llusm is
1285684605 which was assigned by NPPES on 10 May, 2006 and it was last updated on 19 Jul, 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 |
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| Provider Name : | Faculty Physicians And Surgeons Of Llusm |
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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 : | 11401 Heacock St, Suite 330
Moreno Valley, CA, 92557-7908
United States |
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| Phone Number : | 951-247-8697 |
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| Fax Number : | 909-558-3905 |
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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 : | 1285684605 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 10 May, 2006 |
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| Last Updated On : | 19 Jul, 2019 |
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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 |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 909-558-7448 |
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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 | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Faculty Physicians And Surgeons Of Llusm such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| GROO6902D | MEDICAID | CA | |
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 |
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| Phone Number : | 909-558-3111 |
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| Fax Number : | 909-558-3905 |
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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.