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FACULTY PHYSICIANS AND SURGEONS OF LLUSM

Organization (NPI-2) Active

Neurological Surgery

Provider Information

NPI Number
1316997174
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
4646 BROCKTON AVE, RIVERSIDE, CA, 925060102
Phone
(760) 341-5570
Fax
(909) 558-3905

Specialties & Taxonomies

Neurological Surgery Primary

All Addresses

MAILING

FILE NUMBER 54701

LOS ANGELES, CA, 900740001

(909) 558-3111

LOCATION

4646 BROCKTON AVE

RIVERSIDE, CA, 925060102

(760) 341-5570