Organization · Type 2 NPI

Faculty Physicians and Surgeons of Llusm

Neurological Surgery Physician · Upland, CA

NPI number 1588034169 Active

Practice location

350 S Euclid Ave, Unit C
Upland, CA 91786-6665

Fax (909) 651-4586

Mailing address

File # 54701
Los Angeles, CA 90074-4701

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner 363L00000XNone 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…

About NPI 1588034169

Faculty Physicians and Surgeons of Llusm's National Provider Identifier is 1588034169, issued on Sep 25, 2015. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Upland, CA. The record was last updated on Jul 19, 2019.