Provider Demographics
NPI:1881893618
Name:MAX R LEHFELDT M D AMC
Entity type:Organization
Organization Name:MAX R LEHFELDT M D AMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MAX
Authorized Official - Middle Name:RUDOLPH
Authorized Official - Last Name:LEHFELDT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-831-3229
Mailing Address - Street 1:3311 CROWNVIEW DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO PALOS VERDES
Mailing Address - State:CA
Mailing Address - Zip Code:90275-6417
Mailing Address - Country:US
Mailing Address - Phone:310-831-3229
Mailing Address - Fax:310-988-2909
Practice Address - Street 1:10 CONGRESS ST
Practice Address - Street 2:SUITE #502
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-3023
Practice Address - Country:US
Practice Address - Phone:626-449-8910
Practice Address - Fax:626-449-2155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-12
Last Update Date:2007-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA80511174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty