Provider Demographics
NPI:1790114684
Name:MIZRAHI, LEONARD JULIUS (MD)
Entity Type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:JULIUS
Last Name:MIZRAHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:LEE
Other - Middle Name:
Other - Last Name:MIZRAHI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:930 TRUXTUN AVE
Mailing Address - Street 2:213
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-4700
Mailing Address - Country:US
Mailing Address - Phone:760-937-7191
Mailing Address - Fax:
Practice Address - Street 1:930 TRUXTUN AVE
Practice Address - Street 2:213
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-4700
Practice Address - Country:US
Practice Address - Phone:760-937-7191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-01
Last Update Date:2013-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAFE21733171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator