Georgette Young Liebhaber, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

7932 Issued in CA

Practice address

115 Main St
Vista, CA 92084-6007

Phone

(760) 726-9660

NPI assigned

Oct 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Georgette Young Liebhaber Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oceanside Physical Therapy P C

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  • NPI 1437625217
  NPD (past)
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  • Physical Therapist
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  • NPI 1013305069
  NPD (past)

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1457540130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920850039",
            "telephone_number": "760-726-9660",
            "fax_number": "760-726-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MAIN ST",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920846007",
            "telephone_number": "760-726-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBHABER",
        "first_name": "GEORGETTE",
        "middle_name": "YOUNG",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "7932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGETTE",
            "last_name": "LIEBHABER",
            "middle_name": "YOUNG",
            "prefix": "MS.",
            "credential": "L.AC.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Maya Lewis
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• Sharon Liao, LAC., OMD., PHD
• Wade K.C. Licup, MD
• Life Saver Home Care & Wheelchair Transport Inc
• Life Saver in-Home Support Services
• Liliane Shepard
• Steve Lim, LCSW
• Linda S Falconio M.D., Inc

• Acupuncturist in Vista, CA
• Providers in Vista, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.