Organization
DR. DAVID J. LISS, DPM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J LISS DPM (PRESIDENT)
(310) 645-3338
Entity
Organization
Contact information
Practice address
9100 S SEPULVEDA BLVD, SUITE 100, LOS ANGELES, CA 90045-4814
(310) 645-3338
(310) 645-0823
Mailing address
9100 S SEPULVEDA BLVD STE 100, LOS ANGELES, CA 90045-4849
(310) 645-3338
(310) 645-0823
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5120
CA
Other
Enumeration date
07/16/2014
Last updated
08/02/2022
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