Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RONALD DEMETRI LISKANICH, D.O.
Active Sole ProprietorProcedural Dermatology · UPLAND, CA
Registration Details
- NPI Number
- 1245391820
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 13, 2006 (19.35678106041 yrs)
- Last Updated
- Oct 18, 2018
- License
-
20A4952 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
954 W FOOTHILL BLVD STE BUPLAND, CA, 91786Browse CA providers · Browse ZIP 91786
- Phone
- 9099497500
- Fax
- 9099461133
- Primary Specialty
-
Procedural Dermatology
207NS0135X
Other Procedural Dermatology Providers in UPLAND, CA
| Name | Credential | NPI |
|---|---|---|
| TAN KHAC NGUYEN | M.D. | 1144273491 |
| CHARLES M. TRAN | D.O. | 1922051739 |
| DR. GLORIA JANE STEVENS | M.D. | 1699836288 |
| ANDREA PAOLA PASSALACQUA | DO | 1134380330 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.