NPIMap

Organization Active NPI

Minghsun Liu, M.D., PH.D., P.C.

  • Infectious Disease Physician
  • Los Angeles, CA
National Provider Identifier
1447405204
Registry record updated Jul 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A85950 Issued in CA
Legal business name
MINGHSUN LIU, M.D., PH.D., P.C.
Practice address
11103 Venice Blvd
Los Angeles, CA 90034-6914
Phone
(310) 734-8526
Fax
(310) 734-8470
NPI assigned
Nov 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2012

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

Authorized official

Name
Dr. Minghsun Liu, M.D., PH.D.NPI 1518096270
Title
Owner
Phone
(650) 224-7359

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
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X A85950 CA Primary

Addresses

Primary practice location

11103 Venice Blvd
Los Angeles, CA 90034-6914

Mailing address

11103 Venice Blvd
Los Angeles, CA 90034-6914
Phone (310) 734-8526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090113000838 CA Part B Supplier - Clinic/Group Practice 3375606601 Receives reassigned benefits from 4 practitioners
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343433600000",
    "number": "1447405204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11103 VENICE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900346914",
            "telephone_number": "310-734-8526",
            "fax_number": "310-734-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11103 VENICE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900346914",
            "telephone_number": "310-734-8526",
            "fax_number": "310-734-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINGHSUN LIU, M.D., PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2012-07-28",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "MINGHSUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-224-7359",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A85950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.