Vip Family Medicine Clinic, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

VIP FAMILY MEDICINE CLINIC, PLLC

Doing business as

Guozhen (Ken) Liu - Personalized Family Medicine

Practice address

15611 Bel Red Rd Ste 100
Bellevue, WA 98008-2311

Phone

(810) 569-2304

NPI assigned

Jul 4, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Guozhen Liu, MDNPI 1053354613

Title

Family Physician

Phone

(810) 569-2304

Specialties & licenses 1

Addresses

Other names 1

• Guozhen (Ken) Liu - Personalized Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Guozhen Liu, M.D.

  • Family Medicine Physician
  • Bellevue, WA
  • NPI 1053354613
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720051200000",
    "number": "1003652439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15611 BEL RED RD STE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980082311",
            "telephone_number": "810-569-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15611 BEL RED RD STE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980082311",
            "telephone_number": "810-569-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP FAMILY MEDICINE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-04",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "GUOZHEN",
        "authorized_official_title_or_position": "FAMILY PHYSICIAN",
        "authorized_official_telephone_number": "810-569-2304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guozhen (Ken) Liu - Personalized Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah Guiritan Villaroya, DPT
• Yesenia Villegas Nogeda
• Manoshi Vin, MSW
• Judy Vinh
• Alexandra Vinson
• Virginia Mason Medical Center
• Virginia Mason Medical Center
• Virk DMD PS & Polsky DDS LLC
• Gurjeet Virk, PHARMD
• Sarbjit Singh Virk, O.D.

• Primary Care Clinic/Center in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.