Liberty Pacific Medical Imaging, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

LIBERTY PACIFIC MEDICAL IMAGING, LLC

Practice address

16130 Ventura Blvd
Suite #100
Encino, CA 91436-2503

Phone

(818) 933-2020

Fax

(818) 933-2021

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Renee Kavon

Title

V.P. Marketing & Payer Contracting

Phone

(530) 367-5295

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801907084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16130 VENTURA BLVD",
            "address_2": "SUITE #100",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362503",
            "telephone_number": "818-933-2020",
            "fax_number": "818-933-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16130 VENTURA BLVD",
            "address_2": "SUITE #100",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362503",
            "telephone_number": "818-933-2020",
            "fax_number": "818-933-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY PACIFIC MEDICAL IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAVON",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "V.P. MARKETING & PAYER CONTRACTING",
        "authorized_official_telephone_number": "530-367-5295"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hongyan Li, O.M.D, M.D(CN)
• Lia Hospice Care Inc
• Liauna Tolmasoff
• Libbit Surgical Center, LLC
• Liberty Pacific Medical Imaging Encino, LLC
• Philip M. Lichtenfeld, M.D.
• Jacqueline W Lichtenstein, MD
• Jena K Liddy, MD
• Life Alert Emergency Response
• Life Home Health Services Inc

• Diagnostic Radiology Physician in Encino, CA
• Providers in Encino, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.