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General NPI Number Information
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NPI Number | 1982722187
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Entity Type | Organization
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Legal Business Name | OSCAR I. LEAL MD A PROF CORP
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 04/16/2019
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Provider Practice Location Address
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Address Line | 99 N. LA CIENEGA BLVD, SUITE 106
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City | BEVERLY HILLS
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State | CA
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Zip | 90211
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Country | US
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Telephone | 310-652-4000
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Fax | 310-652-4020
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Provider Business Mailing Address
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Address Line | 99 N. LA CIENEGA BLVD, SUITE 106
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City | BEVERLY HILLS
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State | CA
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Zip | 90211
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Country | US
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Telephone | 310-652-4000
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Fax | 310-652-4020
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MS. GERALDINE LUSKER
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Credential |
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Telephone | 949-275-8895
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State | CA
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