Provider Demographics
NPI:1093094427
Name:LALEZARI, DAVID BENJAMIN (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:BENJAMIN
Last Name:LALEZARI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 251247
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-9747
Mailing Address - Country:US
Mailing Address - Phone:818-430-4000
Mailing Address - Fax:310-363-7046
Practice Address - Street 1:8737 BEVERLY BLVD STE 301
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048-1839
Practice Address - Country:US
Practice Address - Phone:323-765-1500
Practice Address - Fax:310-363-7046
Is Sole Proprietor?:No
Enumeration Date:2011-08-16
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA117709207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine