Active NPI
WT Health of California LLC
- Infectious Disease Physician
- Los Angeles, CA
National Provider Identifier
1063201655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- WT HEALTH OF CALIFORNIA LLC
- Practice address
- 11103 Venice Blvd
Los Angeles, CA 90034-6914 - Phone
- (954) 923-7440
- Fax
- (954) 923-1299
- NPI assigned
- May 1, 2025
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Minghsun Liu, MD
- Title
- Authorized Official
- Phone
- (310) 570-2198
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 49
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Infectious Disease Physician
- Los Angeles, CA
- NPI 1518096270
CA, Infectious Disease
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250711000278 | CA | Part B Supplier - Clinic/Group Practice | 4486169398 |
Receives reassigned benefits from 49 practitioners Practice locations: Los Angeles, CA |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
11103 Venice Blvd
Los Angeles, CA 90034-6914
Mailing address
PO Box 848373
Los Angeles, CA 90084-8373
Phone (954) 923-7440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 30, 2026.
{
"created_epoch": "1746057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785369600000",
"number": "1063201655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 848373",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900848373",
"telephone_number": "954-923-7440",
"fax_number": "954-923-1299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11103 VENICE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900346914",
"telephone_number": "954-923-7440",
"fax_number": "954-923-1299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WT HEALTH OF CALIFORNIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-01",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A",
"authorized_official_last_name": "LIU",
"authorized_official_first_name": "MINGHSUN",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "310-570-2198",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.