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FACULTY PHYSICIANS AND SURGEONS OF LLUSM

Organization (NPI-2) Active

Neurological Surgery

Provider Information

NPI Number
1518401546
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
4500 BROCKTON AVE STE 201, RIVERSIDE, CA, 925014090
Phone
(909) 558-6388
Fax
(909) 651-4586

Specialties & Taxonomies

Physician Assistant
Nurse Practitioner
Neurological Surgery Primary

All Addresses

LOCATION

4500 BROCKTON AVE STE 201

RIVERSIDE, CA, 925014090

(909) 558-6388

MAILING

FILE # 54701

LOS ANGELES, CA, 900744701

(909) 558-4000