Deleaver, Margo Patricia
Deleaver, Margo Patricia is an sole proprietor health care provider with primary practice located at 3831 Hughes Ave Ste 601 , Culver City CA 90232-6844. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Deleaver, Margo Patricia can be contacted via phone (310) 838-4048.Contact Information
Primary practice address
3831 Hughes Ave Ste 601
Culver City CA 90232-6844
Phone: (310) 838-4048
Fax: (310) 838-0491
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | C38896 | California |
Profile Details
| NPI number | 1114061421 |
|---|---|
| LBN Legal business name | Deleaver, Margo Patricia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114061421 | NPPES |
| California | MEDICAID | 00C388960 |
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