Organization Active NPI

David KW Lieu

  • Clinical Medical Laboratory
  • Alhambra, CA
National Provider Identifier
1104861657
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLF 315077 Issued in CA
Legal business name
DAVID KW LIEU
Practice address
320 S Garfield Ave
# 278
Alhambra, CA 91801-3886
Phone
(626) 281-7800
Fax
(626) 281-7802
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Authorized official

Name
David Ken Wah Lieu, M.D.NPI 1912966680
Title
Pathologist
Phone
(626) 281-7800

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
Clinical Medical Laboratory 291U00000X CLF 315077 CA Primary

Addresses

Primary practice location

320 S Garfield Ave
# 278
Alhambra, CA 91801-3886

Mailing address

320 S Garfield Ave
# 278
Alhambra, CA 91801-3886
Phone (626) 281-7800

Other identifiers 3

IdentifierTypeStateIssuer
CLF 315077OtherCALAB ID NUMBER
LAB71449FMedicaidCA
05D0671449OtherCLIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130308000449 CA Part B Supplier - Independent Clinical Laboratory 9032143870 Practice locations: Alhambra, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0671449David Lieu MD Dba Fine Needle320 S Garfield Ave, Ste 278, Alhambra, CA 91801ComplianceJan 24, 2027

National Provider Directory

National Provider Directory

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": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585094400000",
    "number": "1104861657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S GARFIELD AVE",
            "address_2": "# 278",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013886",
            "telephone_number": "626-281-7800",
            "fax_number": "626-281-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 S GARFIELD AVE",
            "address_2": "# 278",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013886",
            "telephone_number": "626-281-7800",
            "fax_number": "626-281-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID KW LIEU",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A",
        "authorized_official_last_name": "LIEU",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "KEN WAH",
        "authorized_official_title_or_position": "PATHOLOGIST",
        "authorized_official_telephone_number": "626-281-7800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF 315077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAB ID NUMBER",
            "identifier": "CLF 315077",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB71449F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D0671449",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.