Corey Michael Lieber, MD | |
22 Corporate Plaza Dr, Newport Beach, CA 92660-7985 | |
(949) 722-7038 | |
(949) 630-4900 |
Full Name | Corey Michael Lieber |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 22 Corporate Plaza Dr, Newport Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104946086 | NPI | - | NPPES |
54720346 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | MD2008-0378 (New Mexico) | Secondary |
207X00000X | Orthopaedic Surgery | A99207 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Corey Michael Lieber, MD 287 Nieto Ave, Long Beach, CA 90803-5523 Ph: () - | Corey Michael Lieber, MD 22 Corporate Plaza Dr, Newport Beach, CA 92660-7985 Ph: (949) 722-7038 |
Ryan S Labovitch, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1401 Avocado Ave, Suite 307, Newport Beach, CA 92660 Phone: 949-720-1944 Fax: 949-720-9710 | |
Theodore K. Gregorius, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 360 San Miguel Dr Ste 701, Newport Beach, CA 92660 Phone: 949-759-3600 Fax: 949-759-5017 | |
Vu H Le, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3300 W Coast Hwy, Newport Beach, CA 92663 Phone: 949-491-9991 | |
John F Cook Jr., MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1441 Avocado Ave #802, Newport Beach, CA 92660 Phone: 949-644-9000 Fax: 949-644-4378 | |
Dr. Taylor Dunphy, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 22 Corporate Plaza Dr, Newport Beach, CA 92660 Phone: 949-722-7038 Fax: 949-630-4900 | |
Alan Harris Beyer, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 22 Corporate Plaza Dr, Newport Beach, CA 92660 Phone: 949-722-7038 Fax: 949-630-4951 |