Leport Surgical Medical Corporation
Leport Surgical Medical Corporation is a Specialist in Fountain Valley, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
18111 Brookhurst St Ste 5600Fountain Valley, CA 92708-6728
Phone: (714) 861-4666
Fax: (714) 916-5534
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence G47193 (CA) |
|---|
Record details
| NPI number | 1194940015 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Peter Leport — Provider/Owner · (714) 861-4666 |
| NPI enumerated | April 16, 2007 |
| Last updated in NPPES | March 5, 2012 |
| Mailing address | 18111 Brookhurst St, Suite 5600, Fountain Valley, CA 92708-6728 |
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