Individual
LESLIE JOANA KOROSTOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1809 VERDUGO BLVD, STE 350, GLENDALE, CA 91208-1476
(818) 790-8121
(818) 952-0926
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5100
(818) 952-0926
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A96824
CA
Other
Enumeration date
02/05/2007
Last updated
07/27/2022
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