Organization · NPI-2

Faculty Physicians And Surgeons Of Llusm

Physical Medicine & Rehabilitation · Loma Linda, CA

NPI number1467402289

StatusActive

Last updated in NPPESSep 22, 2025

Details

NPI: 1467402289
Entity type: Organization (NPI-2)
Legal business name: Faculty Physicians And Surgeons Of Llusm
Organization subpart: No
Enumeration date: May 11, 2006
Certification date: Sep 22, 2025
Last updated: Sep 22, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208100000X	Physical Medicine & Rehabilitation	–	–	Yes
207X00000X	Orthopaedic Surgery	–	–

Practice location

11406 Loma Linda Dr
Suite 300
Loma Linda, CA 92354-3711

Phone 909-558-6277 · Fax 909-558-3905

Mailing address

File Number 54701
Los Angeles, CA 90074-0001

Phone 909-651-4300 · Fax 909-558-3905

Authorized official

Ricardo Peverini
President
9095587448

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.