Jennifer Liu MD Inc Apc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

JENNIFER LIU MD INC APC

Practice address

3801 Katella Ave Ste 115
Los Alamitos, CA 90720-3359

Phone

(562) 247-0883

Fax

(562) 512-9986

NPI assigned

Mar 18, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Liu, MDNPI 1669623161

Title

President

Phone

(562) 247-0883

Specialties & licenses 1

Addresses

Other names 1

• JENNIFER LIU MD INC APC Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Liu, M. D.

  • Urology Physician
  • Los Alamitos, CA
  • NPI 1669623161
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1447836671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 MAIN ST STE 131",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902453803",
            "telephone_number": "562-247-0883",
            "fax_number": "562-512-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 KATELLA AVE STE 115",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203359",
            "telephone_number": "562-247-0883",
            "fax_number": "562-512-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER LIU MD INC APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-247-0883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JENNIFER LIU MD INC APC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JENNIFER LIU MD INC APC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Guadalupe Johanna Jacobo
• Vidhyut Girish Jani, PHARM.D.
• Joseph Jee Jean, MD
• Jeffrey J. McCullough DMD, Ms, Inc.
• Cindy Chen Jen, M.D.
• Kirsten Lei Jensen, PPS CRED 150094777
• Mindi L. Jentes, D.C.
• Dennis Carl Jerome, M.D.
• Jesse Chang, M.D. a Professional Corporation
• Jessica a. Rayhanabad, M.D. Inc

• Urology Physician in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.