# MIRYAM LIBERMAN, M.D., INC.

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

## Provider details

- **NPI number:** 1770770067
- **Authorized official:** DR. MIRYAM LIBERMAN MD (OWNER)
- **Authorized official phone:** (818) 991-7315

## Contact information

- **Practice address:** 31822 VILLAGE CENTER RD, SUITE 107, WESTLAKE VILLAGE, CA 91361-4316
- **Practice address phone:** (818) 991-7315
- **Practice address fax:** (818) 991-0575
- **Mailing address:** 31822 VILLAGE CENTER RD, SUITE 107, WESTLAKE VILLAGE, CA 91361-4316
- **Mailing address phone:** (818) 991-7315
- **Mailing address fax:** (818) 991-0575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | G46897 | CA | Yes |

## Other

- **Enumeration date:** 10/01/2007
- **Last updated:** 10/01/2007