Faculty Medical Group of Llusm
Faculty Medical Group of Llusm provides Diagnostic Radiology Physician services in Colton, California. Registered with an NPI since 2009.
- In the registry since
- 2009
Practice location Address checks out
900 E Washington St Ste 150Colton, CA 92324-4119 Not confirmed with CMS for 17 years — call before visiting
Phone: (909) 558-3016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X |
|---|
Record details
| NPI number | 1124259015 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ricardo Peverini — President · (909) 558-7448 |
| Other names | Faculty Medical Group Of Llusm-Radiology |
| NPI enumerated | July 27, 2009 |
| Last updated in NPPES | August 28, 2009 |
| Mailing address | File # 54701, Los Angeles, CA 90074-4701 |
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Michael D Gentry, MD
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Loma Linda University Radiology Medical Group, Inc
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