National Provider Identifier Database

RONALD D LISKANICH, DO – NPI #1245391820
Procedural Dermatology

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).


Contact Information

RONALD D LISKANICH, DO
954 W FOOTHILL BLVD STE B
UPLAND, CA91786
Phone: 909-949-7500
Fax: 909-946-1133
Website:
Specialty Taxonomy Code
* Procedural Dermatology 207NS0135X

* Indicates primary specialty

NPI Profile & details for RONALD D LISKANICH

NPI Number 1245391820
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 12/13/2006
Last updated 10/18/2018 - About 8 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: 20A4952
  • CA Medicaid: 00AX49520
  • CA Other: 020A49520 BLUE SHIELD
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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