Provider Demographics
NPI:1184981896
Name:FRISCHMAN, LEO LOUIS
Entity type:Individual
Prefix:MR
First Name:LEO
Middle Name:LOUIS
Last Name:FRISCHMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:YEHUDA
Other - Middle Name:L
Other - Last Name:FRISCHMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC
Mailing Address - Street 1:321 1/2 N GENESEE AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-2257
Mailing Address - Country:US
Mailing Address - Phone:323-481-5187
Mailing Address - Fax:
Practice Address - Street 1:124 N LA BREA AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-2912
Practice Address - Country:US
Practice Address - Phone:323-481-5187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-19
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC11134171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist