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LEARY AND JESSER INC. NPI 1376620385


NPI Information

NPI: 1376620385
Provider Name: LEARY AND JESSER, INC.

Doing Business As: CALIFORNIA VEIN SPECIALISTS

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
400 WESTMINSTER AVE
NEWPORT BEACH, CA
ZIP 92663
Phone: (949) 515-9377
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LEARY AND JESSER, INC. is a specialist in Newport Beach, 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. LEARY AND JESSER, INC. NPI is 1376620385. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As California Vein Specialists.

The provider's business location address is:

400 WESTMINSTER AVE
NEWPORT BEACH, CA
ZIP 92663-217
Phone: (949) 515-9377
Fax: (949) 515-9378

The provider's authorized official is Kenneth Harold Jesser .
The authorized official title is Owner and has the following contact phone number (949) 515-9377.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 10/21/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W16814MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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