Individual provider · Type 1 NPI
Leonardo D. Mourao, IDC
Military Health Care Provider · Oceanside, CA
NPI number
1972842680
Active
Practice location
618 Pusan Dr
Oceanside, CA 92058-8148
Mailing address
1st Mlg 7th Esb, 555677
Fpo, AP 92055-0000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | None listed |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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About NPI 1972842680
Leonardo D. Mourao, IDC's National Provider Identifier is 1972842680, issued on Feb 1, 2013. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Oceanside, CA. The record was last updated on Sep 29, 2026.