1316997174 NPI number — FACULTY PHYSICIANS AND SURGEONS OF LLUSM

Table of content: (NPI 1316997174)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316997174 NPI number — FACULTY PHYSICIANS AND SURGEONS OF LLUSM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316997174
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/19/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
FILE NUMBER 54701
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90074-0001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
909-558-3111
Provider Business Mailing Address Fax Number:
909-558-3905

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4646 BROCKTON AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RIVERSIDE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92506-0102
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-341-5570
Provider Business Practice Location Address Fax Number:
909-558-3905
Provider Enumeration Date:
05/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
PEVERINI
Authorized Official First Name:
RICARDO
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
909-558-7448

Provider Taxonomy Codes

  • Taxonomy code: 207T00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: GR006902W , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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