| Leo Treyzon M.d., Inc. | |
|
9454 Wilshire Blvd Ste 510 Beverly Hills CA 90212-2904 | |
| (310) 688-4141 | |
| (424) 488-7156 |
| Full Name | Leo Treyzon M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 9454 Wilshire Blvd Ste 510, Beverly Hills, California |
| Authorized Official Name and Position | Leo Treyzon (PRESIDENT) |
| Authorized Official Contact | 3106884141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leo Treyzon M.d., Inc. 9454 Wilshire Blvd Ste 510 Beverly Hills CA 90212-2904 Ph: (310) 688-4141 | Leo Treyzon M.d., Inc. 9454 Wilshire Blvd Ste 510 Beverly Hills CA 90212-2904 Ph: (310) 688-4141 |
| NPI Number | 1861679292 |
|---|---|
| Provider Enumeration Date | 01/29/2008 |
| Last Update Date | 01/12/2024 |
| Medicare PECOS PAC ID | 7315010642 |
|---|---|
| Medicare Enrollment ID | O20080721000307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861679292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A81388 (California) | Primary |
| Provider Name | Todd A Glauser |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1336139773 PECOS PAC ID: 6305837899 Enrollment ID: I20110505000480 |
| Provider Name | Jin Guo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538375217 PECOS PAC ID: 1254587553 Enrollment ID: I20120801000652 |
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