NPI 1902175409
Liberty Brothers INC
Practice location
- Address
- 15137 Hartsook St, Sherman Oaks, CA 91403-1207
- Phone
- (310) 498-8405
Authorised official
- Name
- Ida Liberzon
- Title
- Prseident
- Phone
- (310) 498-8405
Registered specialties
Physiological Laboratory
Primary
Registry record
- NPI
- 1902175409
- Entity type
- Organization
- NPI issued
- 29 Dec 2011
- Record last updated
- 29 Dec 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.