Collin Liu, MD, Inc.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

COLLIN LIU, MD, INC.

Doing business as

Collin Liu, MD

Practice address

11120 E Ocean Air Dr Ste B101-88
San Diego, CA 92130-4683

Phone

(619) 630-8676

NPI assigned

Apr 22, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Collins Y Liu, MDNPI 1851547459

Title

Ceo

Phone

(314) 541-9427

Specialties & licenses 1

Addresses

Other names 1

• Collin Liu, MD Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Collins Liu, MD

  • Behavioral Neurology & Neuropsychiatry Physician
  • San Diego, CA
  • NPI 1851547459
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1518712702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 E OCEAN AIR DR STE B101-88",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921304683",
            "telephone_number": "619-630-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 E OCEAN AIR DR STE B101-88",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921304683",
            "telephone_number": "619-630-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIN LIU, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-21",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "COLLINS",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-541-9427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collin Liu, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alicia Colley, B.S
• Maria Cecilia Jamito Colli, NP
• Karen Tracy Collica
• Summer B. Collier, NP
• Laura B. Colligan, MFT
• Patricia Simmen Collin, R.D
• Justin Oneal Collington
• Collins and Landau
• Collins Dental Corp
• Collins Psychological Therapy & Consulting Inc.

• Medical Specialty Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.