Gary Lieskovsky, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

A35090 Issued in CA

Practice address

1441 Eastlake Ave
Suite 7416
Los Angeles, CA 90089-0177

Phone

(323) 865-3700

Fax

(323) 865-0120

NPI assigned

Nov 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720153885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 EASTLAKE AVE",
            "address_2": "SUITE 7416",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900890177",
            "telephone_number": "323-865-3700",
            "fax_number": "323-865-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 EASTLAKE AVE",
            "address_2": "SUITE 7416",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900890177",
            "telephone_number": "323-865-3700",
            "fax_number": "323-865-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIESKOVSKY",
        "first_name": "GARY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A35090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa V.S. Liemmertz, RN
• Brian Van Lien
• Kelly Lien, D.D.S.
• Tiffany Lien
• Winston Wei Lien, MD
• Marie S Lietzke, RN
• Alexander Carleton Lieu, MD
• Debbie Lieu, OD
• Donna Lieu, D.D.S.
• Jean Lieu, D.P.M

• Urology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.