Liebross, Burton A
Liebross, Burton A is an individual health care provider with primary practice located at 5525 Etiwanda Ave Suite 320, Tarzana CA 91356-3647. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Liebross, Burton A can be contacted via phone (818) 774-3838.Contact Information
Primary practice address
5525 Etiwanda Ave Suite 320
Tarzana CA 91356-3647
Phone: (818) 774-3838
Fax: (818) 774-3590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G32169 | California |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | G32169 | California |
Profile Details
| NPI number | 1659350718 |
|---|---|
| LBN Legal business name | Liebross, Burton A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2006 |
| Last updated | Oct 24th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659350718 | NPPES |
| California | Other | 95-3629679 | TAX ID |
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