Individual
DR. PHILIP EMANUEL LEBOIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 DIVISADERO ST, SUITE 335, SAN FRANCISCO, CA 94115-3011
(415) 353-7546
Mailing address
PO BOX 10076, VAN NUYS, CA 91410-0076
(805) 578-8300
(805) 578-8950
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
G43513
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G435130
MEDI-CAL
CA
Enumeration date
04/17/2006
Last updated
07/08/2007
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