Organization
ALLA LIBERSTEIN, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLA LIBERSTEIN MD (PRESIDENT)
(559) 793-2587
Entity
Organization
Contact information
Practice address
277 W PUTNAM AVE, PORTERVILLE, CA 93257-3450
(559) 793-2587
(559) 793-2525
Mailing address
277 W PUTNAM AVE, PORTERVILLE, CA 93257-3450
(559) 793-2587
(559) 793-2525
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D1083409
CLIA NUMBER
CA
Enumeration date
02/03/2008
Last updated
03/13/2012
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