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 Dermatology Physician · NPI 1083664379

Faculty Physicians and Surgeons of Llusm provides Dermatology Physician services in Redlands, California. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

104 E Olive Ave Ste 100
Redlands, CA 92373-5255
Phone: (909) 792-5197
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1083664379
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ricardo Peverini — President · (909) 558-7448
NPI enumeratedMay 10, 2006
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025
Mailing addressFile Number 54701, Los Angeles, CA 90074-0001

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