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 Plastic Surgery Physician · NPI 1104161579

Faculty Physicians and Surgeons of Llusm is a Plastic Surgery Physician in Loma Linda, California. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

25805 Barton Rd Ste 101
Loma Linda, CA 92354-3814
Phone: (909) 558-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1104161579
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ricardo Peverini — President · (909) 558-7448
NPI enumeratedDecember 11, 2012
Last updated in NPPESJuly 19, 2019
Mailing addressFile # 54701, Los Angeles, CA 90074-4701

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