Active NPI
Jeffrey Chia-Perng Liu, DDS
- Dentist
- Inglewood, CA
National Provider Identifier
1033498282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 60375
- Practice address
- 3451 W Century Blvd Ste B1
Inglewood, CA 90303-1228 - Phone
- (310) 330-9000
- Fax
- (310) 300-9303
- NPI assigned
- Aug 5, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 60375 | CA | Primary |
Addresses
Primary practice location
3451 W Century Blvd Ste B1
Inglewood, CA 90303-1228
Mailing address
3451 W Century Blvd Ste B1
Inglewood, CA 90303-1228
Phone (310) 330-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60375 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312502400000",
"number": "1033498282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3451 W CENTURY BLVD STE B1",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903031228",
"telephone_number": "310-330-9000",
"fax_number": "310-300-9303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3451 W CENTURY BLVD STE B1",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903031228",
"telephone_number": "310-330-9000",
"fax_number": "310-300-9303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "JEFFREY",
"middle_name": "CHIA-PERNG",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-05",
"last_updated": "2011-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "60375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Inglewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.