Dr. Leon Robert Peck
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
8500 Wilshire Blvd Suite 815
Beverly Hills
, California 90211-3121
Dr. Leon Robert Peck
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
8500 Wilshire Blvd Suite 815
Beverly Hills
, California 90211-3121
(310) 652-5785
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Leon Robert Peck
- 8500 Wilshire Blvd Suite 815
- Beverly Hills, CA
- Zip : 90211-3121
- Fax : (310) 652-5785
- Phone : (310) 657-6363
Second Address
- Dr. Leon Robert Peck
- 8500 Wilshire Blvd Suite 815
- Beverly Hills, CA
- Zip : 90211-3121
- Fax : (310) 652-5785
- Phone : (310) 657-6363
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 38348 | CA |
| N | 204E00000X | Oral & Maxillofacial Surgeon | 38348 | CA |
National Provider Identifier
| NPI | 1538185376 |
|---|---|
| Provider Name | Dr. Leon Robert Peck |
| First Address | Beverly Hills, CA 90211-3121 |
| Second Address | Beverly Hills, CA 90211-3121 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/07/2006 |
| Last Update Date | 20/11/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| B38348-01 | (05) | CA |
| U54089 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.