Organization
ROBERT L LEIBOWITZ MD A PROFESSIONAL MEDICAL CORPORATION
Active
Other names
Compassionate Oncology Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT L LEIBOWITZ M.D. (PRESIDENT)
(310) 229-3555
Entity
Organization
Contact information
Practice address
2080 CENTURY PARK E, SUITE 1005, LOS ANGELES, CA 90067-2013
(310) 229-3555
(310) 229-3554
Mailing address
2080 CENTURY PARK E, SUITE 1005, LOS ANGELES, CA 90067-2013
(310) 229-3555
(310) 229-3554
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
G28905
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WPA15424B
MEDICARE PTAN FOR NPP
CA
Enumeration date
08/08/2006
Last updated
05/24/2016
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