Provider Demographics
NPI:1962553321
Name:LESTZ, RACHEL MEREDITH (MD)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:MEREDITH
Last Name:LESTZ
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Gender:F
Credentials:MD
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Mailing Address - Street 1:6430 W SUNSET BLVD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90028-7900
Mailing Address - Country:US
Mailing Address - Phone:323-361-2337
Mailing Address - Fax:323-361-8491
Practice Address - Street 1:4650 W SUNSET BLVD
Practice Address - Street 2:MS #40
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-6062
Practice Address - Country:US
Practice Address - Phone:323-361-2573
Practice Address - Fax:323-361-1184
Is Sole Proprietor?:No
Enumeration Date:2007-01-14
Last Update Date:2011-02-07
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Provider Licenses
StateLicense IDTaxonomies
CAA1143362080P0210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDP1921Medicare UPIN