Active NPI
Liu & Wang Medical Corp
- Internal Medicine Physician
- Alhambra, CA
National Provider Identifier
1417042524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A61785
- Legal business name
- LIU & WANG MEDICAL CORP
- Practice address
- 1118 S Garfield Ave
#201
Alhambra, CA 91801-4713 - Phone
- (626) 281-0090
- Fax
- (626) 281-0261
- NPI assigned
- Oct 4, 2006
- Last updated
- Aug 22, 2020
- 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
- Mary Wang
- Title
- MD Manager
- Phone
- (626) 964-1170
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A61726 | CA | |
| Internal Medicine Physician | 207R00000X | A61785 | CA | Primary |
Addresses
Primary practice location
1118 S Garfield Ave
#201
Alhambra, CA 91801-4713
Mailing address
1118 S Garfield Ave
#201
Alhambra, CA 91801-4713
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR00944201 | Medicaid | CA |
Other names 1
- Urgentcare Medical Center of Rowland Heights
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.
-
- Internal Medicine Physician
- Rowland Heights, CA
- NPI 1669564811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1417042524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1118 S GARFIELD AVE",
"address_2": "#201",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918014713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1118 S GARFIELD AVE",
"address_2": "#201",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918014713",
"telephone_number": "626-281-0090",
"fax_number": "626-281-0261"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIU & WANG MEDICAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WANG",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "MD MANAGER",
"authorized_official_telephone_number": "626-964-1170"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A61726",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A61785",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR00944201",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Urgentcare Medical Center of Rowland Heights",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Alhambra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.