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Peter Cary Leport, MD
Specialist in Fountain Valley, California
NPI 1932163532

Peter Cary Leport is a Specialist based in Fountain Valley, CA. Peter Cary Leport practices in Fountain Valley, CA and has the professional credentials of MD. The NPI Number for Peter Cary Leport is 1932163532 and holds a License No. G47193 (California).

The current practice location address for Peter Cary Leport 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
person
Provider Profile Details
NPI Number
1932163532
Provider Name
Peter Cary Leport
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
18111 Brookhurst St, Fountain Valley, CA, 92708-6728
Phone Number
714-861-4666
Fax Number
714-916-5534
Provider Enumeration Date
04/12/2006
Last Update Date
03/08/2024
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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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