Organization
LESLIE KOROSTOFF MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE KOROSTOFF MD (PRESIDENT)
(818) 391-9060
Entity
Organization
Contact information
Practice address
191 S BUENA VISTA ST, SUITE 340, BURBANK, CA 91505-4554
(818) 260-0693
Mailing address
1931 HAMPTON LN, GLENDALE, CA 91201-1107
(818) 391-9060
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A96824
CA
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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