MEDICARE: DR. DAVID J LISS DPM

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
1	213ES0103X	Foot & Ankle Surgery Podiatrist	E5120	CA

General Provider Information

NPI Number	:	1568752582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID J LISS DPM

Provider Business Mailing Address
First Line	:	9100 S SEPULVEDA BLVD STE 100
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-4849
Country	:	US
Telephone Number	:	310-645-3338
Fax Number	:	310-645-0823

Provider Business Practice Location Address
First Line	:	9100 S SEPULVEDA BLVD STE 100
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-4849
Country	:	US
Telephone Number	:	310-645-3338
Fax Number	:	310-645-0823

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2011
Last Update Date	:	02/20/2020

Similar Medicare Providers

1205894821 — DR. JORDAN SCOTT ROSENTHAL D.P.M.
Practice Location Address:

9100 SO SEPULVEDA BLVD , SUITE 100
LOS ANGELES, CA
90045-4849

Practice Phone: 310-645-3338
Practice Fax: 310-645-0823

1831291400 — AFSANEH KARIMI MD
Practice Location Address:

9100 S SEPULVEDA BLVD STE 117
LOS ANGELES, CA
90045-4849

Practice Phone: 424-702-5750
Practice Fax: 844-318-8709

1881765584 — THOMAS L JOHNSON JR. MD
Practice Location Address:

9100 S SEPULVEDA BLVD STE 121
LOS ANGELES, CA
90045-4849

Practice Phone: 310-674-6785
Practice Fax: 310-674-2161

1861659534 — FIRST VISION, INC.
Practice Location Address:

9100 S SEPULVEDA BLVD , SUITE 112
LOS ANGELES, CA
90045-4849

Practice Phone: 310-649-5644
Practice Fax: 310-649-5536

1386882447 — LAX REHABILITATION CENTER AND PHYSICAL THERAPY PC
Practice Location Address:

9100 S SEPULVEDA BLVD STE 104
LOS ANGELES, CA
90045-4849

Practice Phone: 310-670-9999
Practice Fax: 310-670-9994

1588802573 — LAX HEALTH CENTER, INC.
Practice Location Address:

9100 S SEPULVEDA BLVD STE 104
LOS ANGELES, CA
90045-4849

Practice Phone: 310-670-9999
Practice Fax: 310-670-9994

Directions to “ DR. DAVID J LISS DPM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.