ETHAN LIEBROSS
NPI 1710761937
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since August 21, 2023
885 TIVERTON DRIVE, LOS ANGELES, CA 90095(310) 825-6373 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ethan Liebross NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN LIEBROSS (NPI 1710761937) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1710761937
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameETHAN LIEBROSS
Location Address885 TIVERTON DRIVELos Angeles, CA 90095-0001
Mailing Address885 Tiverton DriveLos Angeles, CA 90095-0001 · (310) 825-6373
Sole ProprietorYes
Enumeration DateAugust 21, 2023
NPPES CertifiedAugust 20, 2023
NPI 1710761937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

885 TIVERTON DRIVE, Los Angeles, CA 90095

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Liebross's NPI number?

The NPI number for Ethan Liebross is 1710761937. It was assigned to this individual provider in the NPPES registry on August 21, 2023.

Where is Ethan Liebross located?

Ethan Liebross practices at 885 Tiverton Drive, Los Angeles, CA 90095. The listed phone number is (310) 825-6373.

What is Ethan Liebross's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ethan Liebross was last updated on August 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.