Wayne Peter Liebman, MD | |
501 S Buena Vista St, Burbank, CA 91505-4809 | |
(818) 843-5111 | |
(818) 847-3935 |
Full Name | Wayne Peter Liebman |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 501 S Buena Vista St, Burbank, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578586764 | NPI | - | NPPES |
00G298080 | Medicaid | CA | |
00G298080 | Other | CA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | G29808 (California) | Primary |
Entity Name | Buena Vista Anesthesia Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366462293 PECOS PAC ID: 7113975996 Enrollment ID: O20050107000780 |
Mailing Address | Practice Location Address |
---|---|
Wayne Peter Liebman, MD 101 S 1st St, 1000, Burbank, CA 91502-1938 Ph: (818) 845-6206 | Wayne Peter Liebman, MD 501 S Buena Vista St, Burbank, CA 91505-4809 Ph: (818) 843-5111 |
Dr. Kent Vu, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 501 S Buena Vista St, Burbank, CA 91505 Phone: 818-843-5111 | |
Mark Paul Schlesinger, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2031 W Alameda Ave, Suite 330, Burbank, CA 91506 Phone: 818-845-8100 Fax: 818-845-8120 | |
Quynh Thien Quach, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 501 S Buena Vista St, Burbank, CA 91505 Phone: 818-843-5111 Fax: 818-847-3935 | |
Dr. John Brandon Hawkins, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 501 S Buena Vista St, Burbank, CA 91505 Phone: 818-843-5111 Fax: 818-847-3935 | |
Dr. David Valondo Mungcal, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 501 S Buena Vista St, Burbank, CA 91505 Phone: 818-843-5111 Fax: 818-847-3935 | |
John Frank Fragola Jr., M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 501 S Buena Vista St, Burbank, CA 91505 Phone: 818-843-5111 Fax: 818-847-3935 | |
Kevin Wayne Chan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 501 S Buena Vista St, Burbank, CA 91505 Phone: 818-843-5111 Fax: 818-847-3935 |