Organization Name: | LELAND E HILBURG, MD, INC. |
NPI Number: | 1801121744 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LELAND EARL HILBURG (PRESIDENT) |
Mailing Address: | 5620 Wilbur Ave Suite 322 Tarzana |
State: | CA US |
Postal Code: | 913561351 |
Phone Number: | 8189961886 |
Fax Number: | 8183447390 |
NPI Enumeration Date: | 10/09/2009 |
NPI Last Update Date: | 10/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G3725 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |