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Leport Surgical Medical Corporation
Specialist in Fountain Valley, California
NPI 1194940015

Leport Surgical Medical Corporation is a Specialist based in Fountain Valley, CA. Leport Surgical Medical Corporation practices in Fountain Valley, CA. The NPI Number for Leport Surgical Medical Corporation is 1194940015 and holds a License No. G47193 (California).

The current practice location address for Leport Surgical Medical Corporation is 18111 Brookhurst St, Fountain Valley, CA and can be reached out via phone at 714-861-4666 and via fax at 714-916-5534.

Location: 18111 Brookhurst St, Fountain Valley, CA, 92708-6728
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194940015
Provider Name
Leport Surgical Medical Corporation
Credential
Provider Entity Type
Organization
Address
18111 Brookhurst St, Fountain Valley, CA, 92708-6728
Phone Number
714-861-4666
Fax Number
714-916-5534
Provider Enumeration Date
04/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G471930 05 CA
institution
Provider Business Practice Location Address Details
Address
18111 Brookhurst St
City
Fountain Valley
State
California
Zip
92708-6728
Phone Number
714-861-4666
Fax Number
714-916-5534
person
Provider Business Mailing Address Details
Address
18111 Brookhurst St
City
Fountain Valley
State
California
Zip
92708-6728
Phone Number
714-861-4666
Fax Number
714-916-5534
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G47193 (California)
Definition
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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