Petrus, Leonard V.
Petrus, Leonard V. is an individual health care provider with primary practice located at 100 W California Blvd , Pasadena CA 91105-3010. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Petrus, Leonard V. can be contacted via phone (626) 397-5139.Contact Information
Primary practice address
100 W California Blvd
Pasadena CA 91105-3010
Phone: (626) 397-5139
Fax: (626) 447-1058
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | A52292 | California |
Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | A52292 | California |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | A52292 | California |
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | A52292 | California |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A52292 | California |
Profile Details
NPI number | 1679562680 |
---|---|
LBN Legal business name | Petrus, Leonard V. |
Credentials | MEDICAL DOCTOR |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 21st, 2005 |
Last updated | Oct 21st, 2014 - about 10 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 | 1679562680 | NPPES |
California | Other | 300116805 | RAILROAD MEDICARE |
California | MEDICAID | 00A522920 | RAILROAD MEDICARE |
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