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NPI Code Detail

MEDICARE: DR. ERIC LIFSHITZ M.D.

MEDICARE:  DR. ERIC  LIFSHITZ  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianG070493CA

General Provider Information

NPI Number : 1225242613
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC LIFSHITZ M.D.
Provider Business Mailing Address
First Line : 10866 WASHINGTON BLVD # 176
Second Line :
City : CULVER CITY
State : CA
Zip : 90232-3610
Country : US
Telephone Number : 310-820-0056
Fax Number : 310-820-4596
Provider Business Practice Location Address
First Line : 10780 SANTA MONICA BLVD STE 110
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-7613
Country : US
Telephone Number : 310-820-0056
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2007
Last Update Date : 11/12/2024

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Directions to “ DR. ERIC LIFSHITZ M.D.” Practice Location

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