Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Faculty Medical Group of Llusm

Organization Transplant Surgery Physician · NPI 1679625156

Faculty Medical Group of Llusm is a Transplant Surgery Physician in Riverside, California. Registered with an NPI since 2007.

In the registry since
2007
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Practice location Address checks out

3762 Tibbetts St
Riverside, CA 92506-2605
Phone: (909) 558-3111
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Specialties & licences

Transplant Surgery Physician (primary) Taxonomy 204F00000X

Record details

NPI number1679625156
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ricardo Peverini — President · (909) 558-7448
NPI enumeratedJanuary 17, 2007
Last updated in NPPESMay 5, 2009
Mailing address54701 File Number, Los Angeles, CA 90074-4701