Scott Lieberman, M.D.
Radiology, Diagnostic Radiology in Los Gatos, CA. Individual provider (NPI-1).
NPI number1679679179
StatusActive
Last updated in NPPESMar 11, 2024
Details
- NPI
- 1679679179
- Entity type
- Individual (NPI-1)
- Name
- Scott Lieberman
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 15, 2006
- Certification date
- Mar 11, 2024
- Last updated
- Mar 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | G58630 | CA | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | G3556 | TX |
Practice location
15466 Los Gatos BlvdSte 109-280
Los Gatos, CA 95032-2542
Phone 408-358-0334
Mailing address
15466 Los Gatos BlvdSte 109-280
Los Gatos, CA 95032-2542
Phone 408-358-0334
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