Liboon, John

Liboon, John is an sole proprietor health care provider with primary practice located at 15615 Pomerado Rd , Poway CA 92064-2405. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Liboon, John can be contacted via phone (858) 613-4000.

Contact Information

Primary practice address
15615 Pomerado Rd Poway CA 92064-2405
Phone: (858) 613-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MD00038681 Washington
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A65588 California

Profile Details

NPI number 1528012853
LBN Legal business name Liboon, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2006
Last updated Apr 5th, 2019 - about 5 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 1528012853 NPPES
Washington MEDICAID 8266652

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