Individual
DR. DAVID LESLIE FOGELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2730 WILSHIRE BLVD, SUITE 325, SANTA MONICA, CA 90403-4743
(310) 828-5015
(310) 829-3877
Mailing address
2730 WILSHIRE BLVD, SUITE 325, SANTA MONICA, CA 90403-4743
(310) 828-5015
(310) 829-3877
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G39149
CA
Other
Enumeration date
09/24/2006
Last updated
07/08/2007
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