# DR. DAVID J. LISS, DPM, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164839619
- **Authorized official:** DR. DAVID J LISS DPM (PRESIDENT)
- **Authorized official phone:** (310) 645-3338

## Contact information

- **Practice address:** 9100 S SEPULVEDA BLVD, SUITE 100, LOS ANGELES, CA 90045-4814
- **Practice address phone:** (310) 645-3338
- **Practice address fax:** (310) 645-0823
- **Mailing address:** 9100 S SEPULVEDA BLVD STE 100, LOS ANGELES, CA 90045-4849
- **Mailing address phone:** (310) 645-3338
- **Mailing address fax:** (310) 645-0823

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E5120 | CA | Yes |

## Other

- **Enumeration date:** 07/16/2014
- **Last updated:** 08/02/2022