Leport Surgical Medical Corporation
NPI #1194940015 in Fountain Valley, California
Provider Information
- NPI Number
- 1194940015
- Entity Type
- Organization
- Organization Name
- Leport Surgical Medical Corporation
- Primary Specialty
- Specialist
- Enumeration Date
- Apr 16, 2007
- Last Updated
- Mar 5, 2012
Practice Location
- Address
- 18111 BROOKHURST ST
- Address 2
- SUITE 5600
- City
- Fountain Valley
- State
- California
- ZIP Code
- 92708-6728
- Phone
- (714) 861-4666
Authorized Official
- Name
- PETER CARY LEPORT, MD
- Title
- PROVIDER/OWNER
- Phone
- (714) 861-4666
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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