Provider Demographics
NPI:1851652473
Name:RHODA F LEICHTER MD A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:RHODA F LEICHTER MD A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RHODA
Authorized Official - Middle Name:FAY
Authorized Official - Last Name:LEICHTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-461-1127
Mailing Address - Street 1:8950 W OLYMPIC BLVD
Mailing Address - Street 2:PO BOX 635
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3561
Mailing Address - Country:US
Mailing Address - Phone:310-461-1127
Mailing Address - Fax:310-461-1123
Practice Address - Street 1:8750 WILSHIRE BLVD
Practice Address - Street 2:STE 150
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-2703
Practice Address - Country:US
Practice Address - Phone:310-461-1127
Practice Address - Fax:310-461-1123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-30
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG682302086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty