Active NPI
Lieu S. Nguyen, M.D., a Professional Corporation
- Family Medicine Physician
- Hawthorne, CA
National Provider Identifier
1215021167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A43217
- Legal business name
- LIEU S. NGUYEN, M.D., A PROFESSIONAL CORPORATION
- Practice address
- 15032 Prairie Ave
Hawthorne, CA 90250-8316 - Phone
- (310) 675-7343
- Fax
- (310) 675-1951
- NPI assigned
- Oct 3, 2006
- Last updated
- Dec 4, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lieu Sanh Nguyen, M.D.
- Title
- Physician/Ceo
- Phone
- (310) 675-7343
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A43217 | CA | Primary |
Addresses
Primary practice location
15032 Prairie Ave
Hawthorne, CA 90250-8316
Mailing address
15032 Prairie Ave
Hawthorne, CA 90250-8316
Phone (310) 675-7343
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Hawthorne, CA
- NPI 1841214285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1417651200000",
"number": "1215021167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15032 PRAIRIE AVE",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902508316",
"telephone_number": "310-675-7343",
"fax_number": "310-675-1951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15032 PRAIRIE AVE",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902508316",
"telephone_number": "310-675-7343",
"fax_number": "310-675-1951"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIEU S. NGUYEN, M.D., A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2014-12-04",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "LIEU",
"authorized_official_middle_name": "SANH",
"authorized_official_title_or_position": "PHYSICIAN/CEO",
"authorized_official_telephone_number": "310-675-7343",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A43217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.