Peter Leport, M.D

NPI 1932163532 · on the registry since 2006 · sole proprietor

Practice

Address: 18111 Brookhurst St
Suite 5600
Fountain Valley, CA 92708
Phone: (714) 861-4666
Fax: (714) 916-5534
Organisation at this address: Leport
Ancova Inc.
Civitas Med
Mindful Glow
Andy Le Md Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 73

Registry record

Primary taxonomy: Specialist
174400000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-05-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California