# LIBERTYMED HEALTH GROUP INC

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

## Provider details

- **NPI number:** 1558920843
- **Authorized official:** RIMA VOSKANI (MANAGER)
- **Authorized official phone:** (818) 248-2000

## Contact information

- **Practice address:** 900 W GLENOAKS BLVD STE D, GLENDALE, CA 91202-2664
- **Practice address phone:** (818) 241-4129
- **Practice address fax:** (818) 241-0472
- **Mailing address:** 900 W GLENOAKS BLVD STE D, GLENDALE, CA 91202-2664
- **Mailing address phone:** (818) 241-4129
- **Mailing address fax:** (818) 241-0472

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 06/10/2019
- **Last updated:** 02/12/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1053706234 | — | CA |
| 05 | — | 1285183269 | — | CA |