Organization · Type 2 NPI

Faculty Physicians and Surgeons of Llusm

Neurological Surgery Physician · Riverside, CA

NPI number 1316997174 Active

Practice location

4646 Brockton Ave
Riverside, CA 92506-0102

Call (760) 341-5570 Map

Fax (909) 558-3905

Mailing address

File Number 54701
Los Angeles, CA 90074-0001

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XNone listed

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1316997174

Faculty Physicians and Surgeons of Llusm's National Provider Identifier is 1316997174, issued on May 11, 2006. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Riverside, CA. The record was last updated on Sep 22, 2025.