Organization
DAVID L. FOGELSON, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LESLIE FOGELSON (OWNER)
(310) 828-5015
Entity
Organization
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
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G39149
CA
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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