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

Organization Otolaryngology Physician · NPI 1326665415

Faculty Physicians and Surgeons of Llusm is an Otolaryngology Physician in Riverside, California. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
13
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Practice location Address checks out

4646 Brockton Ave Ste 103
Riverside, CA 92506-0103
Phone: (909) 558-3111
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Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X
Pediatric Otolaryngology Physician Taxonomy 207YP0228X
Sleep Medicine (Otolaryngology) Physician Taxonomy 207YS0012X
Facial Plastic Surgery Physician Taxonomy 207YS0123X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Taxonomy 207YX0007X
Otolaryngic Allergy Physician Taxonomy 207YX0602X
Otology & Neurotology Physician Taxonomy 207YX0901X
Otolaryngology/Facial Plastic Surgery Physician Taxonomy 207YX0905X
Surgery Physician Taxonomy 208600000X
Audiologist Taxonomy 231H00000X
Speech-Language Pathologist Taxonomy 235Z00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1326665415
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ricardo Peverini — President · (909) 651-5582
NPI enumeratedJuly 6, 2020
Last updated in NPPESJuly 6, 2020
Certification dateJuly 6, 2020
Mailing addressFile Number 54701, Los Angeles, CA 90074-4701

Other providers in Riverside