# LESLIE KOROSTOFF MD A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326478777
- **Authorized official:** LESLIE KOROSTOFF MD (PRESIDENT)
- **Authorized official phone:** (818) 391-9060

## Contact information

- **Practice address:** 191 S BUENA VISTA ST, SUITE 340, BURBANK, CA 91505-4554
- **Practice address phone:** (818) 260-0693
- **Mailing address:** 1931 HAMPTON LN, GLENDALE, CA 91201-1107
- **Mailing address phone:** (818) 391-9060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | A96824 | CA | Yes |

## Other

- **Enumeration date:** 11/22/2013
- **Last updated:** 11/22/2013