Lieu S. Nguyen, M.D., a Professional Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A43217 Issued in CA

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

Organization subpart

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A432170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Family Medicine Physician in California

• 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.

Verify at the official NPI Registry.