Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Faculty Physicians and Surgeons of Llusm

Organization Pediatrics Physician · NPI 1073563748

Faculty Physicians and Surgeons of Llusm provides Pediatrics Physician services in Moreno Valley, California. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

11441 Heacock St Ste C
Moreno Valley, CA 92557-7907
Phone: (951) 247-5809
Fax: (909) 558-3905
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1073563748
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ricardo Peverini — President · (909) 558-7448
NPI enumeratedMay 11, 2006
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025
Mailing addressFile Number 54701, Los Angeles, CA 90074-0001

Other providers in Moreno Valley