Organization
KIDS INFECTIOUS DISEASE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY LIEBERMAN M.D. (MANAGING PARTNER)
(562) 493-6383
Entity
Organization
Contact information
Practice address
2685 ELM AVE, LONG BEACH, CA 90806-1605
(562) 492-6383
(562) 997-9634
Mailing address
2685 ELM AVE, LONG BEACH, CA 90806-1605
(562) 492-6383
(562) 997-9634
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
G58629
CA
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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