Ralph J. Di Libero
Neuromusculoskeletal Medicine (NMM)
4760 W Sunset Blvd
Los Angeles
, California 90027-6063
Ralph J. Di Libero
Neuromusculoskeletal Medicine (NMM)
4760 W Sunset Blvd
Los Angeles
, California 90027-6063
(000) 000-0000
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
Languages spoken
- English
Location
First Address
- Ralph J. Di Libero
- 393 E Walnut St 3rd Floor Phr Systems
- Pasadena, CA
- Zip : 91188-0001
- Fax : (000) 000-0000
- Phone : (000) 000-0000
Second Address
- Ralph J. Di Libero
- 4760 W Sunset Blvd
- Los Angeles, CA
- Zip : 90027-6063
- Phone : (323) 783-4011
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | G15189 | CA |
National Provider Identifier
| NPI | 1255408167 |
|---|---|
| Provider Name | Ralph J. Di Libero |
| First Address | Pasadena, CA 91188-0001 |
| Second Address | Los Angeles, CA 90027-6063 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/11/2006 |
| Last Update Date | 29/11/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G151890 | (05) | CA |
| A90366 | (02) |
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.