OrganizationActive
Faculty Physicians and Surgeons of Llusm
NPI 1295900439 · Pediatric Urology Physician · Loma Linda, CA
Provider details
- NPI number
- 1295900439
- Entity type
- Organization
- Primary specialty
- Pediatric Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ricardo Peverini, President(909) 558-7448
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Urology Physician208800000X
Allopathic & Osteopathic Physicians
Practice location
11370 Anderson St Ste 2050
Loma Linda, CA 92354-3450
Phone: (909) 558-2799
Fax: (909) 558-2704
Approximate (ZIP-level) locationGet directions
Mailing address
File # 54701
Los Angeles, CA 90074-0001
Additional practice locations (1)
- 11370 Anderson St # 1100Loma Linda, CA 92354-3450Phone: (909) 558-2830Fax: (909) 558-2602
Registry dates
- Enumerated
- 2008-04-29
- Last updated
- 2026-02-09
- Certified
- 2026-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.