Organization
LEONARD G. PRUTSOK M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD GEORGE PRUTSOK M.D. (PRESIDENT)
(714) 997-7078
Entity
Organization
Contact information
Practice address
1310 W. STEWART DRIVE, SUITE 214, ORANGE, CA 92868-3837
(714) 997-9078
(714) 997-9771
Mailing address
1310 W. STEWART DRIVE, SUITE 214, ORANGE, CA 92868-3837
(714) 997-9078
(714) 997-9771
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G18825
CA
Other
Enumeration date
02/02/2012
Last updated
05/31/2012
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