Peter Liu, MD, Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A45712 Issued in CA

Legal business name

PETER LIU, MD, INC

Practice address

15107 Vanowen St
Van Nuys, CA 91405-4542

Phone

(818) 902-2909

Fax

(818) 902-5713

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Peter Yudt Ping Liu, M.D.

Title

Ceo

Phone

(208) 676-9080

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pediatric Intensivists and Hospitalists, A Medical Corporation Doing business as

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1295745172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2620",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838352620",
            "telephone_number": "208-676-9080",
            "fax_number": "208-676-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15107 VANOWEN ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054542",
            "telephone_number": "818-902-2909",
            "fax_number": "818-902-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER LIU, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "YUDT PING",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-676-9080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A45712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A457120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Intensivists and Hospitalists, A Medical Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher John Perkin, M.S.
• Renee Perkins
• Shallimara Perry
• Susan Burdick Perry
• Sarla L. Persaud, P.A.
• Peter Suh DMD, Inc.
• Kelsey Peterjohn, RBT
• Lori Petermann
• Angeline Peters
• David John Petersen, MD

• Pediatrics Physician in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.