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FACULTY PHYSICIANS AND SURGEONS OF LLUSM

Organization (NPI-2) Active

Internal Medicine

Provider Information

NPI Number
1871543629
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
11441 HEACOCK ST SUITE A, MORENO VALLEY, CA, 925577907
Phone
(951) 486-9181
Fax
(909) 558-3905

Specialties & Taxonomies

Internal Medicine Primary

All Addresses

MAILING

FILE NUMBER 54701

LOS ANGELES, CA, 900740001

(909) 558-3111

LOCATION

11441 HEACOCK ST SUITE A

MORENO VALLEY, CA, 925577907

(951) 486-9181