Leport, Peter Cary

Leport, Peter Cary is an sole proprietor health care provider with primary practice located at 18111 Brookhurst St Suite 5600, Fountain Valley CA 92708-6728. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Leport, Peter Cary can be contacted via phone (714) 861-4666.

Contact Information

Primary practice address
18111 Brookhurst St Suite 5600 Fountain Valley CA 92708-6728
Phone: (714) 861-4666
Fax: (714) 916-5534
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G47193 California

Profile Details

NPI number 1932163532
LBN Legal business name Leport, Peter Cary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2006
Last updated May 10th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932163532 NPPES
California MEDICAID 00G471930

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