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NPI Code Detail

MEDICARE: MR. RICHARD DAVID LEPORE MFT

MEDICARE: MR. RICHARD DAVID LEPORE MFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistMFC40906CA

General Provider Information

NPI Number : 1881791465
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RICHARD DAVID LEPORE MFT
Provider Business Mailing Address
First Line : 645 WESTMOUNT DR APT 211
Second Line :
City : WEST HOLLYWOOD
State : CA
Zip : 90069-5173
Country : US
Telephone Number : 323-243-9977
Fax Number : 310-499-5610
Provider Business Practice Location Address
First Line : 9021 MELROSE AVE STE 201A
Second Line : WEST HOLLYWOOD
City : LOS ANGELES
State : CA
Zip : 90069-5691
Country : US
Telephone Number : 310-499-5610
Fax Number : 310-499-5610
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2006
Last Update Date : 10/21/2011

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