Organization · NPI-2
Faculty Physicians And Surgeons Of Llusm
Transplant Surgery · San Bernardino, CA
NPI number1386162949
StatusActive
Last updated in NPPESAug 12, 2025
Details
- NPI
- 1386162949
- Entity type
- Organization (NPI-2)
- Legal business name
- Faculty Physicians And Surgeons Of Llusm
- Organization subpart
- No
- Enumeration date
- Sep 5, 2017
- Certification date
- Aug 12, 2025
- Last updated
- Aug 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 204F00000X | Transplant Surgery | – | – | Yes |
| 207RA0001X | Internal Medicine, Advanced Heart Failure and Transplant Cardiology | – | – | |
| 207RT0003X | Internal Medicine, Transplant Hepatology | – | – | |
| 207YP0228X | Otolaryngology, Pediatric Otolaryngology | – | – | |
| 2080T0004X | Pediatrics, Pediatric Transplant Hepatology | – | – | |
| 2086S0120X | Surgery, Pediatric Surgery | – | – | |
| 231H00000X | Audiologist | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – | |
| 364ST0500X | Clinical Nurse Specialist, Transplantation | – | – |
Practice location
197 E Caroline StSan Bernardino, CA 92408
Phone 909-558-2848
Mailing address
File Number 54701Los Angeles, CA 90074-4701
Phone 909-558-4000 · Fax 909-651-4586
Authorized official
Ricardo Peverini
President
9095587448
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