Liebross, Burton A

Liebross, Burton A is an individual health care provider with primary practice located at 5525 Etiwanda Ave Suite 320, Tarzana CA 91356-3647. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Liebross, Burton A can be contacted via phone (818) 774-3838.

Contact Information

Primary practice address
5525 Etiwanda Ave Suite 320 Tarzana CA 91356-3647
Phone: (818) 774-3838
Fax: (818) 774-3590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G32169 California
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X G32169 California

Profile Details

NPI number 1659350718
LBN Legal business name Liebross, Burton A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2006
Last updated Oct 24th, 2016 - about 8 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 1659350718 NPPES
California Other 95-3629679 TAX ID

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