Provider Demographics
NPI:1063524270
Name:LUFTMAN, DEBRA BETH (MD)
Entity type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:BETH
Last Name:LUFTMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:23975 PARK SORRENTO
Mailing Address - Street 2:SUITE 355
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-4015
Mailing Address - Country:US
Mailing Address - Phone:818-222-2055
Mailing Address - Fax:818-222-2967
Practice Address - Street 1:23975 PARK SORRENTO
Practice Address - Street 2:SUITE 355
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-4015
Practice Address - Country:US
Practice Address - Phone:818-222-2055
Practice Address - Fax:818-222-2967
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2017-04-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAGO65273207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G24866Medicare UPIN
G24866Medicare UPIN