Leo M Pisculli is a Psychiatry in Bishop, California. Leo M Pisculli practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Leo M Pisculli is 1477628907. The last update date is 2018-07-23.
Leo M Pisculli's current location address is 686 W Line St, Bishop, California. You can contact this provider via phone number 7608724311 and fax number 7608724130. The mailing address for Leo M Pisculli is 686 W Line St, Bishop, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leo M Pisculli |
|---|---|
| Address | 686 W Line St, Bishop, California |
| Phone Number | 7608724311 |
| Fax Number | 7608724130 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1477628907 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2018-07-23 |
Provider Mailing Address Detail
| Address | 686 W Line St |
|---|---|
| City | Bishop |
| State | California (CA) |
| Post Code | 935143315 |
| Phone Number | 7608724311 |
| Fax Number | 7608724130 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | G7322 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000G73220 | CA | BLUE CROSS | |
| 000G73220 | CA | BLUE SHIELD | |
| 120424 | WA | WA STATE FUND |
Post Comment/ Review Below
What is the unique identifier code issued to Leo M Pisculli by the Centers for Medicare & Medicaid Services?
The Leo M Pisculli has been assigned the NPI (National Provider Identifier) 1477628907. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Leo M Pisculli's physical address?
The Leo M Pisculli is physically located at 686 W Line St, in the city of Bishop, CA, with the postal code 935143315.
What is Leo M Pisculli's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Leo M Pisculli is Psychiatry, and the corresponding taxonomy classification code for this specialized field is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1477628907 to Leo M Pisculli?
The Centers for Medicare & Medicaid Services originally issued the 1477628907 to Leo M Pisculli on 2006-11-21.
As of what date were the details related to Leo M Pisculli most recently updated or revised?
The information pertaining to Leo M Pisculli, including its address, specialty, and other relevant details, was last updated or revised on 2018-07-23.