NPI 1124560214
Faculty Physicians and Surgeons of Llusm
Practice location
- Address
- 2020 Wellness Way STE 506, Las Vegas, NV 89106-4145
- Phone
- (909) 558-3636
- Fax
- (909) 651-4586
- Mailing address
- File # 54701, Los Angeles, CA 90074-4701
Authorised official
- Name
- Ricardo Peverini
- Title
- President
- Phone
- (909) 558-7448
Registered specialties (6)
Transplant Surgery Physician
Primary
Hepatology Physician
Transplant Hepatology Physician
Physician Assistant
Surgical Physician Assistant
Nurse Practitioner
Registry record
- NPI
- 1124560214
- Entity type
- Organization
- NPI issued
- 7 Nov 2016
- Record last updated
- 19 Jul 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.