OrganizationActive
Kids Infectious Disease, Inc.
NPI 1881705911 · Pediatric Infectious Diseases Physician · Long Beach, CA
Provider details
- NPI number
- 1881705911
- Entity type
- Organization
- Primary specialty
- Pediatric Infectious Diseases PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jay Lieberman, Managing Partner(562) 493-6383
- License
- G58629 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2685 Elm Ave
Long Beach, CA 90806-1605
Phone: (562) 492-6383
Fax: (562) 997-9634
Approximate (ZIP-level) locationGet directions
Mailing address
2685 Elm Ave
Long Beach, CA 90806-1605
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.