Faculty Physicians And Surgeons Of Llusm
Pediatrics in Sun City, CA. Organization (NPI-2).
NPI number1790735009
StatusActive
Last updated in NPPESSep 22, 2025
Details
- NPI
- 1790735009
- Entity type
- Organization (NPI-2)
- Legal business name
- Faculty Physicians And Surgeons Of Llusm
- Organization subpart
- No
- Enumeration date
- May 10, 2006
- Certification date
- Sep 22, 2025
- Last updated
- Sep 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
Practice location
27990 Sherman RdSun City, CA 92585-9155
Phone 951-672-1931 · Fax 909-558-3905
Mailing address
File Number 54701Los Angeles, CA 90074-0001
Phone 909-558-3111 · Fax 909-558-3905
Authorized official
Ricardo Peverini
President
9095587448
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