Liberty Brothers Inc

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

LIBERTY BROTHERS INC

Practice address

15137 Hartsook St
Sherman Oaks, CA 91403-1207

Phone

(310) 498-8405

NPI assigned

Dec 29, 2011

Organization subpart

No

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

Authorized official

Name

Ida Liberzon, RDMS

Title

Prseident

Phone

(310) 498-8405

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melvin S Faigus, M.D.

  • Diagnostic Radiology Physician
  • Beverly Hills, CA
  • NPI 1992927719
  NPD
• George Mednik, M.D.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1902858368
  NPD
• Zoya Maksumova, M.D.

  • Radiological Physics Physician
  • New York, NY
  • NPI 1730119777
  NPD

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1902175409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15137 HARTSOOK ST",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031207",
            "telephone_number": "310-498-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15137 HARTSOOK ST",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031207",
            "telephone_number": "310-498-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY BROTHERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "LIBERZON",
        "authorized_official_first_name": "IDA",
        "authorized_official_title_or_position": "PRSEIDENT",
        "authorized_official_telephone_number": "310-498-8405",
        "authorized_official_credential": "RDMS"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yue Li, M.S. BCBA
• Zheyi Li
• Oleg Liakhovetski, M.D.
• Liakhovetski,MD a Professional Corporation
• Kayla Liberona
• Catherine C. Lichtenberger, MFT, BCBA
• Roberta Lichter, PSYCHOLOGIST
• Asher Eli Lichterman, DPT
• Life Line Home Health Care Inc
• Life Quality Resources

• Physiological Laboratory in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Physiological Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.