LESLIE MEMSIC (NPI# 1821019456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821019456 |
| Entity Type | Individual |
| Full Name | LESLIE MEMSIC |
| Credential | M.D. |
| Practice Address |
436 N Bedford Dr Ste 105 Beverly Hills CA 90210-4323 |
| Mailing Address |
436 N Bedford Dr Suite 103 Beverly Hills CA 90210-4310 |
| Practice Telephone | 3102788200 |
| Practice Fax Number | 3102788230 |
| Mailing Telephone | 3102788200 |
| Mailing Fax Number | 3102788230 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2016-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
G496380 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G496380 | 05 |
| Street Address |
436 N BEDFORD DR STE 105 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90210-4323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861496382 | Rodney H. Bluestone | Specialist | 436 N Bedford Dr, Ste 303, Beverly Hills, CA 90210-4320 | 2005-06-13 |
| 1568001253 | Sarah Flood | Physician Assistant | 436 N Bedford Dr, Beverly Hills, CA 90210-4310 | 2019-12-30 |
| 1639620198 | Stitch, LLC | Clinic/Center | 436 N Bedford Dr, Suite 214, Beverly Hills, CA 90210-4310 | 2016-10-19 |
| 1760878367 | Bedford Breast Center, Inc | Clinic/Center | 436 N Bedford Dr, Suite 105, Beverly Hills, CA 90210-4310 | 2015-04-09 |
| 1154717742 | Heather Richardson, Md | Surgery | 436 N Bedford Dr, Suite 105, Beverly Hills, CA 90210-4310 | 2015-04-09 |
| 1780078501 | Adam B Brown, Do,inc | Anesthesiology | 436 N Bedford Dr, Beverly Hills, CA 90210-4310 | 2015-03-19 |
| 1154727832 | Kaitlin Kane | Physician Assistant | 436 N Bedford Dr, 103, Beverly Hills, CA 90210-4310 | 2014-11-07 |
| 1831513266 | Allied General and Oncology Surgical Associates Inc | Surgery | 436 N Bedford Dr, Suite 103, Beverly Hills, CA 90210-4310 | 2014-02-05 |
| 1669713970 | Stitchmd | Plastic Surgery | 436 N Bedford Dr, Suite 308, Beverly Hills, CA 90210-4310 | 2013-03-12 |
| 1790041770 | Shahram F. Ravan,m.d., Inc. | Internal Medicine | 436 N Bedford Dr, Suite 214, Beverly Hills, CA 90210-4310 | 2012-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225643786 | Diane Garcia | Social Worker | 436 N. Roxbury Drive, Suite 218, Beverly Hills, CA 90210 | 2020-09-11 |
| 1043834765 | Sheryl Kipper Weissberg | Marriage & Family Therapist | 9171 Wilshire Boulevard, Penthouse, Beverly Hills, CA 90210 | 2020-05-29 |
| 1093373912 | Jill Daloria | Speech-Language Pathologist | 201 N Crescent Drive, Beverly Hills, CA 90210 | 2019-06-05 |
| 1902363203 | Barry J Brock Md Inc. | Obstetrics & Gynecology | 421 N Rodeo Drive, Penthouse 1, Beverly Hills, CA 90210 | 2019-02-23 |
| 1861983884 | Beverly Hills Hair Free Corp | Contractor | 9301 Wilshire Blvd #310, Beverly Hills, CA 90210 | 2018-05-24 |
| 1245745389 | Richard L Gilbert | Marriage & Family Therapist | 301 North Bedford Drive Suite 401, Beverly Hills, CA 90210 | 2017-12-12 |
| 1588180970 | Richard Paul Braun IIi | Chiropractor | 9601 Wilshire Blvd., Within Equinox Spa, Beverly Hills, CA 90210 | 2017-08-17 |
| 1538683677 | Bh Therapy Corp. | Psychologist | 9107 Wilshire Blvd Suite 200, Beverly Hills, CA 90210 | 2017-07-31 |
| 1114374394 | Marvin Berkowitz | Family Medicine | 614 N Roxbury Dr., Beverly Hills, CA 90210 | 2016-05-18 |
| 1104287077 | Eva Silegy | Nurse Anesthetist, Certified Registered | 465 N. Roxbury Drive, Beverly Hills, CA 90210 | 2016-03-18 |
| Find all providers in zip 90210 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225511835 | Brendan Boland Md Inc | Surgery | 9001 Wilshire Blvd Ste 207, Beverly Hills, CA 90211-1843 | 2018-09-10 |
| 1821115825 | Kristi Mari Funk | Surgery | 8900 Wilshire Blvd Ste 300, Beverly Hills, CA 90211-1959 | 2007-03-23 |
| 1619486644 | Susan Virginia Massey | Surgery | 8900 Wilshire Blvd Ste 300, Beverly Hills, CA 90211-1959 | 2017-09-21 |
| 1831513266 | Allied General and Oncology Surgical Associates Inc | Surgery | 436 N Bedford Dr, Suite 103, Beverly Hills, CA 90210-4310 | 2014-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801418702 | Farzad Alemi Md Inc | Surgery | 3628 E Imperial Hwy Ste 103, Lynwood, CA 90262-2600 | 2020-05-13 |
| 1699232801 | Megan Gregor | Surgery | One Hoag Dr., Bldg 41, Ste 122, Newport Beach, CA 92663 | 2019-02-24 |
| 1508377409 | Curetology Surgical Oncology Medical Corporation & Associates | Surgery | 1127 Wilshire Blvd Ste 1604, Los Angeles, CA 90017-4007 | 2017-10-18 |
| 1770966178 | Sinziana Dumitra | Surgery | 1500 Durate Road California, Mob L001, Duarte, CA 91010 | 2015-07-02 |
| 1336572734 | Lana D Louie | Surgery | 18370 Burbank, Suite 607, Tarzana, CA 91356-2833 | 2013-08-21 |
| 1942544515 | Leland J Foshag, Md Inc | Surgery | 11818 Wilshire Blvd Ste 200, Los Angeles, CA 90025-6647 | 2012-11-20 |
| 1447516935 | Fank B Callipari X | Surgery | 14914 Huntington Gate Dr, Poway, CA 92064-6709 | 2012-04-09 |
| 1649549767 | Joseph Dotan | Surgery | 1618 Woodlands Rd, Beaumont, CA 92223-8569 | 2011-12-19 |
| 1679801609 | Carl Mason Sutherland II | Surgery | 539 28th Ave, San Mateo, CA 94403-2601 | 2009-12-02 |
| 1306092564 | Melanie Goldfarb | Surgery | 2200 Santa Monica Blvd Ste 121, Santa Monica, CA 90404-2312 | 2008-08-07 |
| Find all providers with the same taxonomy | ||||
| City | BEVERLY HILLS |
| Zip Code | 90210 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.