Faculty Medical Group Of Llusm

NPI 1184662405 - Emergency Medicine - 207P00000X

NPI Details
NPI 1184662405
Enumeration Date 06/02/2006
Last Updated 07/27/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RICARDO RICARDO
Position PRESIDENT FACULTY MEDICAL GROUP OF
Phone (909) 558-4344
Fax
Practice Location
11234 ANDERSON ST
A 108
LOMA LINDA CA, 92354-2804, US
Phone (909) 558-4344
Fax
Business Location
FILE NUMBER 54701
LOS ANGELES CA, 90074-4701, US
Phone (909) 558-3111
Fax
Toxanomy
Taxonomy Code 207P00000X
License State
License Number
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According to our database, Faculty Medical Group Of Llusm NPI is 1184662405, taxonomy code is 207P00000X Faculty Medical Group Of Llusm physically located at 11234 Anderson St, Loma Linda CA, 92354-2804. NPI Number 1033115704 has the healthcare provider type.

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1184662405 NPI number is provided on an as is basis without warranty of any kind. 1184662405 is maintained by the National Plan & Provider Enumeration System. The contents of Faculty Medical Group Of Llusm are for informational purposes only.