FACULTY PHYSICIANS AND SURGEONS OF LLUSM - NPI 1891960415

Q: What is the provider's specialty?

The provider's specialty is Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.

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About Faculty Physicians And Surgeons Of Llusm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FACULTY PHYSICIANS AND SURGEONS OF LLUSM (NPI 1891960415) is a healthcare organization registered as a vascular surgery in Temecula, California and active in the NPI registry since April 2008. The organization maintains a secondary practice location in Temecula and lists Ricardo Peverini, President, as its authorized official.

NPPES Registry Identity

NPI1891960415

Entity TypeOrganization

Primary Taxonomy2086S0129X

Legal Business NameFACULTY PHYSICIANS AND SURGEONS OF LLUSM

Location Address44274 GEORGE CUSHMAN CT STE 208Temecula, CA 92592-5945

Mailing AddressFile Number 54701Los Angeles, CA 90074-0001 · (909) 558-3111

Phone(909) 558-2822

Organization SubpartNo

Authorized OfficialRicardo PeveriniPresident · (909) 558-7488

Enumeration DateApril 24, 2008

Last NPPES UpdateJuly 19, 20193 updates tracked since enumeration

✔ NPI 1891960415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X

44274 GEORGE CUSHMAN CT STE 208, Temecula, CA 92592

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Secondary Practice Location 1

Location 131515 Rancho Pueblo Rd, Suite 202Temecula, CA 92592-4837 · Phone (909) 558-2822 · Fax (909) 651-4586

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEGGY ELIZABETH DIXON MCGILL FNP-BC

Nurse Practitioner (Family)