Faculty Physicians and Surgeons of Llusm
Faculty Physicians and Surgeons of Llusm is a Pediatrics Physician in Mission Viejo, California. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
27871 Medical Center Rd Ste 140Mission Viejo, CA 92691
Phone: (909) 522-2799
Fax: (909) 651-4586
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X |
|---|
Record details
| NPI number | 1063842987 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ricardo Peverini — President · (909) 558-7448 |
| NPI enumerated | November 13, 2013 |
| Last updated in NPPES | July 19, 2019 |
| Mailing address | File # 54701, Los Angeles, CA 90074-4701 |
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Dr. Kimberly A Douglas, MD
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