Healthcare Provider Details

I. General information

NPI: 1043141906
Provider Name (Legal Business Name): LIA LABRANT MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 N ROBERTSON BLVD STE 200
BEVERLY HILLS CA
90211-2144
US

IV. Provider business mailing address

150 N ROBERTSON BLVD STE 200
BEVERLY HILLS CA
90211-2144
US

V. Phone/Fax

Practice location:
  • Phone: 310-652-9347
  • Fax: 310-652-3489
Mailing address:
  • Phone: 310-652-9347
  • Fax: 310-652-3489

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: LIA LABRANT
Title or Position: OWNER
Credential: MD
Phone: 360-624-4870