Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHILLIP ROBERT FLESHNER, MD

Deactivated Sole Proprietor

Colon & Rectal Surgery · LOS ANGELES, CA

This NPI has been deactivated. The record was deactivated on April 11, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number: 1881695286
Provider Type: Individual
Gender: Male
NPI Issued: Aug 9, 2005 (0.67123287671233 yrs)
Last Updated: Jun 19, 2012
Deactivated: Apr 11, 2006
Licenses: G071920 (CA)

G71920 (CA)
Sole Proprietor: Yes

Practice Information

Address: 8737 BEVERLY BLVD

#101

LOS ANGELES, CA, 900481835
Browse CA providers · Browse ZIP 90048
Phone: 3102899277
Fax: 3102898995
Primary Specialty: Colon & Rectal Surgery
208C00000X
Additional Specialty: Colon & Rectal Surgery

Other Colon & Rectal Surgery Providers in LOS ANGELES, CA

Name	Credential	NPI
GLENN THOMAS AULT	M.D.	1295749802
DR. DAVID B ROSENFELD	MD	1831105873
SANG WON LEE	M.D.	1386651867
MR. ALESSIO PIGAZZI	M.D.	1205935913
CLIFFORD Y. KO	MD	1023198769
MARY R KWAAN	M.D., M.P.H.	1588732911

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.