Physician Compare National (NPI:1679631014)

HEALTHCARE PROVIDER: STEVEN LEIBOWITZ M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1679631014
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6901791995
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040218000736
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LEIBOWITZ
	Individual professional last name
Provider First Name	STEVEN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
	Individual professional's medical school
Graduation Year	1979
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	8641 WILSHIRE BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 312
	Group Practice or individual's line 2 address
City	BEVERLY HILLS
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	902112921
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	290003
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SUNRISE HOSPITAL AND MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	030055
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	KINGMAN REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050262
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	RONALD REAGAN U C L A MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	290041
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	SUMMERLIN HOSPITAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y