Provider Demographics
NPI:1407135817
Name:GARFINKEL, LESTER SIMON (MD)
Entity Type:Individual
Prefix:
First Name:LESTER
Middle Name:SIMON
Last Name:GARFINKEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11836 MOORPARK ST
Mailing Address - Street 2:UNIT 8
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-2135
Mailing Address - Country:US
Mailing Address - Phone:818-760-2332
Mailing Address - Fax:
Practice Address - Street 1:11836 MOORPARK ST
Practice Address - Street 2:UNIT 8
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-2135
Practice Address - Country:US
Practice Address - Phone:818-760-2332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-16
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC50067207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine