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Organization
LIBERTYMED HEALTH GROUP INC
Active
Organization
LIBERTYMED HEALTH GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIMA VOSKANI (MANAGER)
(818) 248-2000
Entity
Organization
Contact information
Practice address
900 W GLENOAKS BLVD STE D, GLENDALE, CA 91202-2664
(818) 241-4129
(818) 241-0472
Mailing address
900 W GLENOAKS BLVD STE D, GLENDALE, CA 91202-2664
(818) 241-4129
(818) 241-0472
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053706234
—
CA
05
—
1285183269
—
CA
Enumeration date
06/10/2019
Last updated
02/12/2024
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