Provider Demographics
NPI:1861679292
Name:LEO TREYZON M.D., INC.
Entity Type:Organization
Organization Name:LEO TREYZON M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LEO
Authorized Official - Middle Name:
Authorized Official - Last Name:TREYZON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-688-4141
Mailing Address - Street 1:9454 WILSHIRE BLVD STE 510
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-2904
Mailing Address - Country:US
Mailing Address - Phone:310-688-4141
Mailing Address - Fax:424-488-7156
Practice Address - Street 1:9454 WILSHIRE BLVD STE 510
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-2904
Practice Address - Country:US
Practice Address - Phone:310-688-4141
Practice Address - Fax:424-488-7156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-29
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA81388207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty