Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | A26569 | CA |
NPI | 1235151796 |
---|---|
Provider Name | Ronald S Leuchter |
First Address | Beverly Hills, CA 90212-0736 |
Second Address | Los Angeles, CA 90048-1804 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 04/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A24889 | (02) | CA |