Individual
FRED GOTTLIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3586 S BENTLEY AVE, LOS ANGELES, CA 90034-6505
(310) 839-4714
(310) 839-7845
Mailing address
3170 ANTELO RD, LOS ANGELES, CA 90077-1604
(310) 472-5551
(310) 472-9225
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A18704
CA
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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