Jay M Lieberman
Pediatric Infectious Diseases
2685 Elm Ave
Long Beach
, California 90806-1605
Jay M Lieberman
Pediatric Infectious Diseases
2685 Elm Ave
Long Beach
, California 90806-1605
(562) 997-9634
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About
Features
Specialties
- Pediatric Infectious Diseases
Languages spoken
- English
Location
First Address
- Jay M Lieberman
- 2685 Elm Ave
- Long Beach, CA
- Zip : 90806-1605
- Fax : (562) 997-9634
- Phone : (562) 933-8750
Second Address
- Jay M Lieberman
- 2685 Elm Ave
- Long Beach, CA
- Zip : 90806-1605
- Fax : (562) 997-9634
- Phone : (562) 933-8750
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0208X | Pediatric Infectious Diseases | G58629 | CA |
National Provider Identifier
| NPI | 1164533279 |
|---|---|
| Provider Name | Jay M Lieberman |
| First Address | Long Beach, CA 90806-1605 |
| Second Address | Long Beach, CA 90806-1605 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2006 |
| 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.