Provider Demographics
NPI:1164594214
Name:SCHLESINGER, GAIL MICHELE (MD)
Entity Type:Individual
Prefix:DR
First Name:GAIL
Middle Name:MICHELE
Last Name:SCHLESINGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20750 VENTURA BLVD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-2338
Mailing Address - Country:US
Mailing Address - Phone:818-346-3500
Mailing Address - Fax:818-251-1112
Practice Address - Street 1:5706 CORSA AVE STE 200-O
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-4057
Practice Address - Country:US
Practice Address - Phone:800-400-4674
Practice Address - Fax:818-251-1112
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG53448174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF35070Medicare UPIN