Basic Information
Provider Information
NPI: 1912005372
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FLEISHER
FirstName: ARTHUR
MiddleName: A.
NamePrefix: DR.
NameSuffix: II
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 8719
Address2:  
City: NORTHRIDGE
State: CA
PostalCode: 913278719
CountryCode: US
TelephoneNumber: 8183752000
FaxNumber: 8183754320
Practice Location
Address1: 13652 CANTARA ST
Address2: NORTH 3
City: PANORAMA CITY
State: CA
PostalCode: 914025423
CountryCode: US
TelephoneNumber: 8183752000
FaxNumber: 8183754320
Other Information
ProviderEnumerationDate: 09/20/2006
LastUpdateDate: 10/04/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XC21214CAY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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