Individual
CESAR LIBANATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10459 MOUNTAIN VIEW AVE, SUITE F, LOMA LINDA, CA 92354-2033
(909) 796-8470
(909) 478-0618
Mailing address
5260 FOOTHILL RD, VENTURA, CA 93003-2147
(805) 676-1589
(909) 478-0618
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A0454410
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A454410
MEDICAL
CA
05
—
2182935
—
CA
01
—
A0454410
STATE MEDICAL LICENSE
CA
Enumeration date
12/12/2006
Last updated
07/08/2007
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