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Contact Information

LEIBOW PSYCHOLOGY GROUP, PC
11175 CAMPUS ST
LOMA LINDA, CA92350-1700
 Phone: 305-336-1168
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Health

103TH0004X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for LEIBOW PSYCHOLOGY GROUP, PC

NPI Number 1760028575
LBN Legal business name LEIBOW PSYCHOLOGY GROUP, PC
Authorized official MICHAEL LEIBOW - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/27/2019
Last updated 10/04/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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