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 Urology Physician · NPI 1790326825

Faculty Physicians and Surgeons of Llusm is an Urology Physician in Loma Linda, California. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2

Practice location Address checks out

11360 Mt View Ave Ste B
Loma Linda, CA 92354-3834
Phone: (909) 558-2830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X
Pediatric Urology Physician Taxonomy 2088P0231X

Record details

NPI number1790326825
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ricardo Peverini — President · (909) 651-5582
NPI enumeratedSeptember 30, 2019
Last updated in NPPESSeptember 30, 2019
Mailing addressFile Number 54701, Los Angeles, CA 90074-4701

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