Organization Active NPI

Oscar I. Leal MD a Prof Corp

  • Ambulatory Surgical Clinic/Center
  • Beverly Hills, CA
National Provider Identifier
1982722187
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
OSCAR I. LEAL MD A PROF CORP
Doing business as
DBA: Beverly Hills Laser & Surgical Center
Practice address
99 N. la Cienega Blvd, Suite 106
Beverly Hills, CA 90211
Phone
(310) 652-4000
Fax
(310) 652-4020
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Geraldine Lusker
Title
Billing Manager
Phone
(949) 275-8895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X CA Primary

Addresses

Primary practice location

99 N. la Cienega Blvd, Suite 106
Beverly Hills, CA 90211

Mailing address

99 N. la Cienega Blvd, Suite 106
Beverly Hills, CA 90211
Phone (310) 652-4000

Other identifiers 1

IdentifierTypeStateIssuer
005528OtherBLUE CROSS ID #

Other names 1

  • DBA: Beverly Hills Laser & Surgical Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555372800000",
    "number": "1982722187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 N. LA CIENEGA BLVD, SUITE 106",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90211",
            "telephone_number": "310-652-4000",
            "fax_number": "310-652-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 N. LA CIENEGA BLVD, SUITE 106",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90211",
            "telephone_number": "310-652-4000",
            "fax_number": "310-652-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCAR I. LEAL MD A PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2019-04-16",
        "status": "A",
        "authorized_official_last_name": "LUSKER",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "949-275-8895",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID #",
            "identifier": "005528",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA: Beverly Hills Laser & Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.