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General NPI Number Information
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NPI Number | 1861679292
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Entity Type | Organization
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Legal Business Name | LEO TREYZON M.D., INC.
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Dates
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Enumeration Date | 01/29/2008
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 9454 WILSHIRE BLVD STE 510
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-2904
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Country | US
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Telephone | 310-688-4141
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Fax | 424-488-7156
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Provider Business Mailing Address
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Address Line | 9454 WILSHIRE BLVD STE 510
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-2904
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Country | US
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Telephone | 310-688-4141
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Fax | 424-488-7156
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LEO TREYZON
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Credential | M.D.
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Telephone | 310-688-4141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | A81388
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License Number State | CA
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