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

Faculty Physicians and Surgeons of Llusm

Organization Pediatrics Physician · NPI 1073563748

Faculty Physicians and Surgeons of Llusm is a Pediatrics Physician in Moreno Valley, California. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

11441 Heacock St Ste C
Moreno Valley, CA 92557-7907
Phone: (951) 247-5809
Fax: (909) 558-3905
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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 number1073563748
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ricardo Peverini — President · (909) 558-7448
NPI enumeratedMay 11, 2006
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025
Mailing addressFile Number 54701, Los Angeles, CA 90074-0001

Other providers in Moreno Valley