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 Neurology Physician · NPI 1093117962

Faculty Physicians and Surgeons of Llusm is a Neurology Physician in Newport Beach, California. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
4

Practice location Address checks out

359 San Miguel Dr Ste 105
Newport Beach, CA 92660-7812
Phone: (909) 558-2880
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X
Speech-Language Pathologist Taxonomy 235Z00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1093117962
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ricardo Peverini — President · (909) 558-7448
NPI enumeratedSeptember 22, 2014
Last updated in NPPESJuly 19, 2019
Mailing addressFile # 54701, Los Angeles, CA 90074-4701

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