NPIMap

Organization Active NPI

David Liem OD and Associates, Inc

  • Optometrist
  • La Habra, CA
National Provider Identifier
1366838633
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11793TPL Issued in CA
Legal business name
DAVID LIEM OD AND ASSOCIATES, INC
Practice address
1390 S Beach Blvd
La Habra, CA 90631-6374
Phone
(562) 691-9541
NPI assigned
Apr 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Authorized official

Name
Dr. David J Liem, O.D.NPI 1982932877
Title
Owner
Phone
(626) 221-4952

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 11793TPL CA Primary

Addresses

Primary practice location

1390 S Beach Blvd
La Habra, CA 90631-6374

Mailing address

900 Ridgecrest St
Monterey Park, CA 91754-4623
Phone (626) 221-4952

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": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1366838633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 RIDGECREST ST",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544623",
            "telephone_number": "626-221-4952",
            "fax_number": "562-697-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 S BEACH BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906316374",
            "telephone_number": "562-691-9541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID LIEM OD AND ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "LIEM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-221-4952",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11793TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Habra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.