Individual
DR. LEV GOTTLIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1400 MIDVALE AVE, 404, LOS ANGELES, CA 90024-5498
(424) 835-0854
Mailing address
1400 MIDVALE AVE, 404, LOS ANGELES, CA 90024-5498
(424) 835-0854
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY 26509
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
12/13/2013
Last updated
10/17/2014
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