Cassileth, Lisa B

Cassileth, Lisa B is an individual health care provider with primary practice located at 436 N Bedford Dr #103, Beverly Hills CA 90210-4310. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Cassileth, Lisa B can be contacted via phone (310) 278-8200.

Contact Information

Primary practice address
436 N Bedford Dr #103 Beverly Hills CA 90210-4310
Phone: (310) 278-8200
Fax: (310) 278-8230
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1407858459
LBN Legal business name Cassileth, Lisa B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407858459 NPPES
California MEDICAID 00A817060

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