Organization Active NPI

Liu Dental Corporation

  • Dental Clinic/Center
  • Lake Forest, CA
National Provider Identifier
1073214987
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LIU DENTAL CORPORATION
Practice address
23731 El Toro Rd Ste E
Lake Forest, CA 92630-8615
Phone
(949) 910-3551
NPI assigned
Mar 16, 2023
Organization subpart
Yes
Parent organization
LIU DENTAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Jessica LiuNPI 1720648280
Title
Owner
Phone
(949) 910-3551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

23731 El Toro Rd Ste E
Lake Forest, CA 92630-8615

Mailing address

32 Bell Chime
Irvine, CA 92618-8804

National Provider Directory

National Provider Directory
Part of
Liu Dental Corporation

Locations

23731 El Toro Rd
Ste E
Lake Forest, CA 92630
Phone (949) 910-3551

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1073214987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 BELL CHIME",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926188804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23731 EL TORO RD STE E",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308615",
            "telephone_number": "949-910-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIU DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIU DENTAL CORPORATION",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-910-3551"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.