Organization · Type 2 NPI

Leport Surgical Medical Corporation

Specialist · Fountain Valley, CA

NPI number 1194940015 Active

Practice location

18111 Brookhurst St, Suite 5600
Fountain Valley, CA 92708-6728

Call (714) 861-4666 Map

Fax (714) 916-5534

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XG47193 (CA)

Specialist: 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.

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About NPI 1194940015

Leport Surgical Medical Corporation's National Provider Identifier is 1194940015, issued on Apr 16, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fountain Valley, CA. The record was last updated on Mar 5, 2012.