Individual
DR. ROMAN LEIBZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
191 S BUENA VISTA ST, SUITE 400, BURBANK, CA 91505-4554
(818) 848-0023
(818) 848-3495
Mailing address
191 S BUENA VISTA ST, SUITE 400, BURBANK, CA 91505-4554
(818) 848-0023
(818) 848-3495
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
A71810
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A718100
—
CA
Enumeration date
08/11/2005
Last updated
01/08/2013
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