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Leslie A Bain Md Medical Corporation
Specialist in Newport Beach, California
NPI 1316255680

Leslie A Bain Md Medical Corporation is a Specialist based in Newport Beach, CA. Leslie A Bain Md Medical Corporation practices in Newport Beach, CA. The NPI Number for Leslie A Bain Md Medical Corporation is 1316255680 and holds a License No. A24274 (California).

The current practice location address for Leslie A Bain Md Medical Corporation is 1441 Avocado Ave, Newport Beach, CA and can be reached out via phone at 949-720-9170 and via fax at 949-720-0755.

Location: 1441 Avocado Ave, Newport Beach, CA, 92660-7721
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316255680
Provider Name
Leslie A Bain Md Medical Corporation
Credential
Provider Entity Type
Organization
Address
1441 Avocado Ave, Newport Beach, CA, 92660-7721
Phone Number
949-720-9170
Fax Number
949-720-0755
Provider Enumeration Date
09/20/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A24274A 01 MEDICARE ID
institution
Provider Business Practice Location Address Details
Address
1441 Avocado Ave
City
Newport Beach
State
California
Zip
92660-7721
Phone Number
949-720-9170
Fax Number
949-720-0755
person
Provider Business Mailing Address Details
Address
1441 Avocado Ave
City
Newport Beach
State
California
Zip
92660-7721
Phone Number
949-720-9170
Fax Number
949-720-0755
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A24274 (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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