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NPI Code Detail

MEDICARE: CARL FLEISHER M.D.

MEDICARE: CARL FLEISHER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0804XChild & Adolescent Psychiatry PhysicianA112794CA

General Provider Information

NPI Number : 1013161843
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARL FLEISHER M.D.
Provider Business Mailing Address
First Line : 11900 W OLYMPIC BLVD STE 410
Second Line :
City : LOS ANGELES
State : CA
Zip : 90064-1168
Country : US
Telephone Number : 310-596-1555
Fax Number : 888-317-0391
Provider Business Practice Location Address
First Line : 11900 W OLYMPIC BLVD STE 410
Second Line :
City : LOS ANGELES
State : CA
Zip : 90064-1168
Country : US
Telephone Number : 888-225-1995
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2008
Last Update Date : 09/24/2025

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