Organization
OSCAR I. LEAL MD A PROF CORP
Active
Other names
DBA: Beverly Hills Laser & Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GERALDINE LUSKER (BILLING MANAGER)
(949) 275-8895
Entity
Organization
Contact information
Practice address
99 N. LA CIENEGA BLVD, SUITE 106, BEVERLY HILLS, CA 90211
(310) 652-4000
(310) 652-4020
Mailing address
99 N. LA CIENEGA BLVD, SUITE 106, BEVERLY HILLS, CA 90211
(310) 652-4000
(310) 652-4020
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005528
BLUE CROSS ID #
—
Enumeration date
03/26/2007
Last updated
04/16/2019
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