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 Neurological Surgery Physician · NPI 1194775122

Faculty Physicians and Surgeons of Llusm is a Neurological Surgery Physician in Loma Linda, California. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

11370 Anderson St Ste 2600
Loma Linda, CA 92354-3450
Phone: (909) 558-2055
Fax: (909) 558-3905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X

Record details

NPI number1194775122
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ricardo Peverini — President · (909) 558-7448
NPI enumeratedMay 11, 2006
Last updated in NPPESNovember 9, 2023
Certification dateNovember 9, 2023
Mailing addressFile Number 54701, Los Angeles, CA 90074-0001

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