Individual
LESLIE MEMSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
436 N BEDFORD DR, STE 105, BEVERLY HILLS, CA 90210-4323
(310) 278-8200
(310) 278-8230
Mailing address
436 N BEDFORD DR, SUITE 103, BEVERLY HILLS, CA 90210-4310
(310) 278-8200
(310) 278-8230
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
G496380
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G496380
—
CA
Enumeration date
07/21/2006
Last updated
11/19/2016
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