Individual
DR. LEONARD J SCUDERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23456 HAWTHORNE BLVD STE 250, TORRANCE, CA 90505-4774
(310) 791-5577
(310) 791-5575
Mailing address
23456 HAWTHORNE BLVD STE 250, TORRANCE, CA 90505-4774
(310) 791-5577
(310) 791-5575
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G59477
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G594770
BLUE SHIELD
CA
01
—
WG59477A
MEDICARE PPIN
CA
Enumeration date
07/16/2006
Last updated
01/24/2019
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