Leibzon, Roman

Leibzon, Roman is an individual health care provider with primary practice located at 191 S Buena Vista St Suite 400, Burbank CA 91505-4554. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Leibzon, Roman can be contacted via phone (818) 848-0023.

Contact Information

Primary practice address
191 S Buena Vista St Suite 400 Burbank CA 91505-4554
Fax: (818) 848-3495
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X A71810 California

Profile Details

NPI number 1447252218
LBN Legal business name Leibzon, Roman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Jan 8th, 2013 - about 11 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 1447252218 NPPES
California MEDICAID 00A718100

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