Organization Active NPI

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

  • Family Medicine Physician
  • Hawthorne, CA
National Provider Identifier
1215021167
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
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
Last updated
Dec 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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.NPI 1841214285
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 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, and the practitioner matching its NPPES authorized official.

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.

Verify at the official NPI Registry.