Provider Demographics
NPI:1740304203
Name:TREYZON, LEO (MD)
Entity type:Individual
Prefix:DR
First Name:LEO
Middle Name:
Last Name:TREYZON
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 1:9454 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
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA81388207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology