Individual
DR. LEONARD GEORGE PRUTSOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1310 W STEWART DR, SUITE 214, ORANGE, CA 92868-3854
(714) 997-9078
(714) 997-9771
Mailing address
1310 W STEWART DR, SUITE 214, ORANGE, CA 92868-3854
(714) 997-9078
(714) 997-9771
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G18825
CA
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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