Organization Active NPI

Liu & Wang Medical Corp

  • Internal Medicine Physician
  • Alhambra, CA
National Provider Identifier
1417042524
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A61785 Issued in CA
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mary WangNPI 1669564811
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
GR00944201MedicaidCA

Other names 1

  • Urgentcare Medical Center of Rowland Heights Former legal business name

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": "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.

Verify at the official NPI Registry.