Organization · Type 2 NPI

Faculty Physicians and Surgeons of Llusm

Surgery Physician · Riverside, CA

NPI number 1013967405 Active

Practice location

3762 Tibbetts St
Riverside, CA 92506-2605

Call (951) 686-2224 Map

Mailing address

File Number 54701
Los Angeles, CA 90074-0001

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XNone listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1013967405

Faculty Physicians and Surgeons of Llusm's National Provider Identifier is 1013967405, issued on May 10, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Riverside, CA. The record was last updated on Sep 22, 2025.