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Individual

LIZA M CAPIENDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9400 BRIGHTON WAY, SUITE 307, BEVERLY HILLS, CA 90210-4703
(310) 273-2310
(310) 273-0314
Mailing address
9400 BRIGHTON WAY, SUITE 307, BEVERLY HILLS, CA 90210-4703
(310) 273-2310
(310) 273-0314

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
A72178
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05D1048213
CLIA
CA
01
270127585
FEDERAL TAX ID
CA
Enumeration date
08/02/2006
Last updated
12/24/2009
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