Individual
ROBERT DANIEL LEIBOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8631 W 3RD ST, SUITE 635E, LOS ANGELES, CA 90048-5901
(310) 659-5692
(310) 659-2848
Mailing address
8631 W 3RD ST, SUITE 635E, LOS ANGELES, CA 90048-5901
(310) 659-5692
(310) 659-2848
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G38159
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G381590
MEDICAL PPIN #
CA
Enumeration date
07/10/2006
Last updated
11/19/2007
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