Organization Active NPI

Robert L Leibowitz MD a Professional Medical Corporation

  • Medical Oncology Physician
  • Los Angeles, CA
National Provider Identifier
1285644963
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
G28905 Issued in CA
Legal business name
ROBERT L LEIBOWITZ MD A PROFESSIONAL MEDICAL CORPORATION
Practice address
2080 Century Park E
Suite 1005
Los Angeles, CA 90067-2013
Phone
(310) 229-3555
Fax
(310) 229-3554
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert L Leibowitz, M.D.
Title
President
Phone
(310) 229-3555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RX0202X G28905 CA Primary

Addresses

Primary practice location

2080 Century Park E
Suite 1005
Los Angeles, CA 90067-2013

Mailing address

2080 Century Park E
Suite 1005
Los Angeles, CA 90067-2013
Phone (310) 229-3555

Other identifiers 1

IdentifierTypeStateIssuer
WPA15424BOtherCAMEDICARE PTAN FOR NPP

Other names 1

  • Compassionate Oncology Medical Group Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1285644963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E",
            "address_2": "SUITE 1005",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672013",
            "telephone_number": "310-229-3555",
            "fax_number": "310-229-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E",
            "address_2": "SUITE 1005",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672013",
            "telephone_number": "310-229-3555",
            "fax_number": "310-229-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L LEIBOWITZ MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "LEIBOWITZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-229-3555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "G28905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN FOR NPP",
            "identifier": "WPA15424B",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassionate Oncology Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.