Organization Active NPI

Michael J Lieber MD a Professsional Corporation

  • Pulmonary Disease Physician
  • Santa Monica, CA
National Provider Identifier
1629265525
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
G32244 Issued in CA
Legal business name
MICHAEL J LIEBER MD A PROFESSSIONAL CORPORATION
Practice address
2001 Santa Monica Blvd
Ste 1190W
Santa Monica, CA 90404-2102
Phone
(310) 453-1414
Fax
(310) 362-8775
NPI assigned
Sep 25, 2007
Last updated
Mar 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Authorized official

Name
Dr. Michael Jonathan Lieber, M.D.NPI 1619990116
Title
President
Phone
(310) 453-1414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X G32244 CA
Pulmonary Disease Physician 207RP1001X G32244 CA Primary

Addresses

Primary practice location

2001 Santa Monica Blvd
Ste 1190W
Santa Monica, CA 90404-2102

Mailing address

2001 Santa Monica Blvd
Ste 1190W
Santa Monica, CA 90404-2102
Phone (310) 453-1414

National Provider Directory

National Provider Directory

Locations

200 UCLA Medical Plz
#B26529
Los Angeles, CA 90095
Phone (310) 794-9014

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1629265525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "STE 1190W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042102",
            "telephone_number": "310-453-1414",
            "fax_number": "310-362-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "STE 1190W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042102",
            "telephone_number": "310-453-1414",
            "fax_number": "310-362-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J LIEBER MD A PROFESSSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "LIEBER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-453-1414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "G32244",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G32244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.