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 Dermatology Physician · NPI 1083664379

Faculty Physicians and Surgeons of Llusm is a Dermatology Physician in Redlands, California. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

104 E Olive Ave Ste 100
Redlands, CA 92373-5255
Phone: (909) 792-5197
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1083664379
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ricardo Peverini — President · (909) 558-7448
NPI enumeratedMay 10, 2006
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025
Mailing addressFile Number 54701, Los Angeles, CA 90074-0001

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