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Individual

DR. HEINZ-JOSEF LENZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1441 EASTLAKE AVE., NOR 8302E, LOS ANGELES, CA 90033-0000
(323) 865-3105
(323) 865-0061
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5100

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
A63854
CA
207RX0202X
Medical Oncology Physician
Primary
A63854
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A638540
BLUE SHIELD
CA
05
00A638540
CA
01
00A638540197
CAL OPTIMA
CA
01
1356390009
GROUP NIP
CA
01
1902846306
GROUP NPI
CA
01
830005979
RAILROAD MEDICARE
CA
01
CE1617
GROUP RAILROAD MEDICARE
CA
01
GR0016910
GROUP MEDICAID PIN
CA
01
GR0100430
GROUP MEDICAL
CA
01
W11675
GROUP MEDICARE PIN
CA
01
W18762
MEDICARE GROUP ID
CA
Enumeration date
06/30/2006
Last updated
11/27/2023
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