Organization · Type 2 NPI

Faculty Physicians and Surgeons of Llusm

Transplant Surgery Physician · Glendale, CA

NPI number 1508255175 Active

Practice location

1505 Wilson Terrace, Suite 155
Glendale, CA 91206-4071

Call (909) 558-3636 Map

Mailing address

File # 54701
Los Angeles, CA 90074-4701

Specialties and licenses

TaxonomyCodeLicense
Transplant Surgery Physician Primary 204F00000XNone listed
Speech-Language Pathologist 235Z00000XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner 363L00000XNone listed

Transplant Surgery Physician: A surgeon who specializes in transplant surgery.

5 other providers at this address

About NPI 1508255175

Faculty Physicians and Surgeons of Llusm's National Provider Identifier is 1508255175, issued on Jan 20, 2015. The primary taxonomy on file is Transplant Surgery Physician (204F00000X), and the practice location is in Glendale, CA. The record was last updated on Jul 19, 2019.