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FACULTY PHYSICIANS & SURGEONS OF LLUSM

Physicians Pathology Blood Banking & Transfusion Medicine

Provider NPI: 1588020432

Organization Information:
Organization Name:  FACULTY PHYSICIANS & SURGEONS OF LLUSM
Organization is not Subpart
Authorized Official:  RICARDO  PEVERINI  PRESIDENT  909-558-7448

Practice Location:
28062 BAXTER RD  MURRIETA, CA 92563-1401 US
Tel: 951-290-4171  Fax: 909-651-4586

Business Mailing Address:
FILE # 54701  LOS ANGELES, CA 90074-4701 US
Tel: 909-558-4000  Fax: 909-558-4586

NPI Information:
NPI: 1588020432
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207ZB0001XPhysicians
Pathology
Blood Banking & Transfusion Medicine
N207ZC0006XPhysicians
Pathology
N207ZC0500XPhysicians
Pathology
N207ZD0900XPhysicians
Pathology
N207ZF0201XPhysicians
Pathology
N207ZH0000XPhysicians
Pathology
N207ZI0100XPhysicians
Pathology
N207ZM0300XPhysicians
Pathology
N207ZN0500XPhysicians
Pathology
N207ZP0007XPhysicians
Pathology
N207ZP0102XPhysicians
Pathology
N207ZP0104XPhysicians
Pathology
N207ZP0105XPhysicians
Pathology
N207ZP0213XPhysicians
Pathology
Y207ZP0101XPhysicians
Pathology

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 207ZP0101X

Type:

Classification:



Definition:



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