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 Clinical Neuropsychologist · NPI 1619927647

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

In the registry since
2006

Practice location Address checks out

11406 Loma Linda Dr Ste 300
Loma Linda, CA 92354-3711
Phone: (909) 558-6144
Fax: (909) 558-3905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X

Record details

NPI number1619927647
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ricardo Peverini — President · (909) 558-7448
NPI enumeratedMay 11, 2006
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025
Mailing addressFile Number 54701, Los Angeles, CA 90074-0001

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