Leport Surgical Medical Corporation

LBN: Leport Surgical Medical Corporation
Leport Surgical Medical Corporation is an health care organization with primary practice located at 18111 Brookhurst St Suite 5600, Fountain Valley CA 92708-6728. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Leport Surgical Medical Corporation can be contacted via phone (714) 861-4666, or through Leport, Peter Cary 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:
Map and Directions
Authorized official contact:
Name: Leport, Peter Cary Doctor of Medicine (MD)
Phone: (714) 861-4666

Health care specialties

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

Profile Details

NPI number 1194940015
LBN Legal business name Leport Surgical Medical Corporation
DBA Doing business as
Authorized official Leport, Peter Cary Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2007
Last updated Mar 5th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194940015 NPPES
California MEDICAID 00G471930

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