Active NPI
Oscar I. Leal MD a Prof Corp
- Ambulatory Surgical Clinic/Center
- Beverly Hills, CA
National Provider Identifier
1982722187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005528 | Other | BLUE CROSS ID # |
Other names 1
- DBA: Beverly Hills Laser & Surgical Center
National Provider Directory
National Provider DirectoryNPI 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.