| Leroy S Clark, MD | |
|
18344 Clark Street, Suite 101, Tarzana, CA 91356 | |
| (818) 881-9811 | |
| (818) 881-1638 |
| Full Name | Leroy S Clark |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 18344 Clark Street, Tarzana, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982643508 | NPI | - | NPPES |
| 00G142470 | Other | CA | BLUE SHIELD |
| 00G142470 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | G14247 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Leroy S Clark, MD Po Box 16699, Irvine, CA 92623-6699 Ph: (949) 263-8620 | Leroy S Clark, MD 18344 Clark Street, Suite 101, Tarzana, CA 91356 Ph: (818) 881-9811 |
Jack L Chen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 18344 Clark Street, Suite 101, Tarzana, CA 91356 Phone: 818-881-9811 Fax: 818-881-1639 | |
Sepideh Geramfard, Radiology Medicare: Not Enrolled in Medicare Practice Location: 18370 Burbank Blvd, Unit 401, Tarzana, CA 91356 Phone: 818-399-8211 | |
Saeed Dianat, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 18133 Ventura Blvd, Tarzana, CA 91356 Phone: 818-784-8799 | |
David J Rubenstein, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 18321 Clark St, Tarzana, CA 91356 Phone: 818-708-5470 Fax: 818-342-6385 | |
Eli J Bendavid, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 18344 Clark Street, Suite 101, Tarzana, CA 91356 Phone: 818-881-9811 Fax: 818-881-1638 | |
Lawrence W. Chespak, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 18344 Clark Street, Suite 101, Tarzana, CA 91356 Phone: 818-881-9811 Fax: 818-881-1638 | |
Richard M Gritz, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 18344 Clark Street, Suite 101, Tarzana, CA 91356 Phone: 818-881-9811 Fax: 818-881-1638 |