Dr. Scott Howard Leibold
Primary Podiatric Medicine
2107 Pickwick Dr
Camarillo
, California 93010-6427
Dr. Scott Howard Leibold
Primary Podiatric Medicine
2107 Pickwick Dr
Camarillo
, California 93010-6427
(805) 484-6976
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Scott Howard Leibold
- 2107 Pickwick Dr
- Camarillo, CA
- Zip : 93010-6247
- Fax : (805) 484-6976
- Phone : (805) 484-6956
Second Address
- Dr. Scott Howard Leibold
- 2107 Pickwick Dr
- Camarillo, CA
- Zip : 93010-6427
- Fax : (805) 484-6976
- Phone : (805) 484-6956
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | E4073 | CA |
National Provider Identifier
| NPI | 1326138355 |
|---|---|
| Provider Name | Dr. Scott Howard Leibold |
| First Address | Camarillo, CA 93010-6247 |
| Second Address | Camarillo, CA 93010-6427 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/10/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.