Individual
DR. LELAND JAY FOSHAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11818 WILSHIRE BLVD, SUITE 200, LOS ANGELES, CA 90025-6646
(310) 479-1215
(310) 943-3144
Mailing address
2001 SANTA MONICA BLVD, SUITE 560W, SANTA MONICA, CA 90404-2102
(310) 479-1215
(310) 943-3144
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
G61645
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G61645
MEDICAL LICENSE
CA
Enumeration date
11/09/2006
Last updated
03/07/2023
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