LEPORT SURGICAL MEDICAL CORPORATION NPI 1194940015

NPI Information

LEPORT SURGICAL MEDICAL CORPORATION is a specialist in Fountain Valley, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LEPORT SURGICAL MEDICAL CORPORATION NPI is 1194940015. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

18111 BROOKHURST ST
SUITE 5600
FOUNTAIN VALLEY, CA
ZIP 92708-728
Phone: (714) 861-4666
Fax: (714) 916-5534

The provider's authorized official is Peter Cary Leport .
The authorized official title is Provider/owner and has the following contact phone number (714) 861-4666.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 3/5/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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