Close, Liesl

Close, Liesl is an sole proprietor health care provider with primary practice located at 1411 E 31St St , Oakland CA 94602-1092. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Hospitals / General Acute Care Hospital, Allopathic & Osteopathic Physicians / Neurological Surgery. Allopathic & Osteopathic Physicians / Neurological Surgery is her primary health care specialty. Close, Liesl can be contacted via phone (415) 353-7500.

Contact Information

Primary practice address
1411 E 31St St Oakland CA 94602-1092
Phone: (415) 353-7500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X R73227 Arizona
Hospitals / General Acute Care Hospital 282N00000X R-9872 Iowa
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X A174945 California

Profile Details

NPI number 1578827499
LBN Legal business name Close, Liesl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2012
Last updated Oct 14th, 2021 - about 4 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 1578827499 NPPES
California Other A174945 MEDICAL LICENSE

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