Individual
GUSTAVO LEOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 E BELLEVUE DR APT 125, PASADENA, CA 91101-3105
(805) 284-2068
Mailing address
321 E VALERIO ST APT C, SANTA BARBARA, CA 93101-1195
(805) 284-2068
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95105960
CA
207L00000X
Anesthesiology Physician
95002220
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
1811497
AZ
Other
Enumeration date
07/31/2023
Last updated
10/14/2024
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