Organization Active NPI

Miryam Liberman, M.D., Inc.

  • Medical Specialty Clinic/Center
  • Westlake Village, CA
National Provider Identifier
1770770067
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
G46897 Issued in CA
Legal business name
MIRYAM LIBERMAN, M.D., INC.
Practice address
31822 Village Center Rd
Suite 107
Westlake Village, CA 91361-4316
Phone
(818) 991-7315
Fax
(818) 991-0575
NPI assigned
Oct 1, 2007
Last updated
Oct 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Authorized official

Name
Dr. Miryam Liberman, MDNPI 1013921634
Title
Owner
Phone
(818) 991-7315

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X G46897 CA Primary

Addresses

Primary practice location

31822 Village Center Rd
Suite 107
Westlake Village, CA 91361-4316

Mailing address

31822 Village Center Rd
Suite 107
Westlake Village, CA 91361-4316
Phone (818) 991-7315

National Provider Directory

National Provider Directory

Locations

1240 S Westlake Blvd
Ste 117
Westlake Vlg, CA 91361
Phone (805) 496-0592

31822 Village Center Rd
Ste 107
Westlake Vlg, CA 91361
Phone (818) 532-7884

Practitioners & affiliated clinicians

Practitioners 2

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": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1770770067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31822 VILLAGE CENTER RD",
            "address_2": "SUITE 107",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614316",
            "telephone_number": "818-991-7315",
            "fax_number": "818-991-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31822 VILLAGE CENTER RD",
            "address_2": "SUITE 107",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614316",
            "telephone_number": "818-991-7315",
            "fax_number": "818-991-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRYAM LIBERMAN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "LIBERMAN",
        "authorized_official_first_name": "MIRYAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-991-7315",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "G46897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.