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NPI Code Detail

MEDICARE: DR. LEONARD MICHAEL FROMER M.D.

MEDICARE:  DR. LEONARD MICHAEL FROMER  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
1207Q00000XFamily Medicine PhysicianG42192CA

General Provider Information

NPI Number : 1093057234
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEONARD MICHAEL FROMER M.D.
Provider Business Mailing Address
First Line : 15525 HAMNER DR
Second Line :
City : LOS ANGELES
State : CA
Zip : 90077-1804
Country : US
Telephone Number : 310-383-8168
Fax Number : 310-471-5392
Provider Business Practice Location Address
First Line : 15525 HAMNER DR
Second Line :
City : LOS ANGELES
State : CA
Zip : 90077-1804
Country : US
Telephone Number : 310-383-8168
Fax Number : 310-471-5392
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2013
Last Update Date : 03/26/2013

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Directions to “ DR. LEONARD MICHAEL FROMER M.D.” Practice Location

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