Provider Demographics
NPI:1518013788
Name:LIEBESKIND, HOWARD F (DPM)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:F
Last Name:LIEBESKIND
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7345 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-1955
Mailing Address - Country:US
Mailing Address - Phone:818-347-9806
Mailing Address - Fax:818-347-1852
Practice Address - Street 1:7345 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 210
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-1955
Practice Address - Country:US
Practice Address - Phone:818-347-9806
Practice Address - Fax:818-347-1852
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-28
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAE2375213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5382950001Medicare NSC
CAT19189Medicare UPIN