Organization · Type 2 NPI

Faculty Physicians and Surgeons of Llusm

Pediatric Surgery Physician · Upland, CA

NPI number 1861892705 Active

Practice location

901 San Bernardino Rd
Upland, CA 91786-4912

Call (909) 558-4000 Map

Mailing address

File # 54701
Los Angeles, CA 90074-4701

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XNone listed
Surgery Physician 208600000XNone listed
Pediatric Surgery Physician Primary 2086S0120XNone listed
Speech-Language Pathologist 235Z00000XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner 363L00000XNone listed

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

12 other providers at this address

About NPI 1861892705

Faculty Physicians and Surgeons of Llusm's National Provider Identifier is 1861892705, issued on Aug 28, 2014. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Upland, CA. The record was last updated on Jul 19, 2019.