Organization Active NPI

Jenny Pei Liu, D.D.S., Inc.

  • Dentist
  • Monterey Park, CA
National Provider Identifier
1568601151
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
55450 Issued in CA
Legal business name
JENNY PEI LIU, D.D.S., INC.
Practice address
2071 S. Altantic Blvd.
#F&G
Monterey Park, CA 91754
Phone
(323) 260-7878
Fax
(323) 260-7030
NPI assigned
Feb 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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

Authorized official

Name
Dr. Jenny Pei Liu, D.D.S.
Title
Ceo
Phone
(626) 293-7145

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 55450 CA Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 55450 CA

Addresses

Primary practice location

2071 S. Altantic Blvd.
#F&G
Monterey Park, CA 91754

Mailing address

1203 S. Marguerita Ave.
#I
Alhambra, CA 91803-2450
Phone (626) 293-7145

National Provider Directory

National Provider Directory

Locations

2071 S Atlantic Blvd
Monterey Park, CA 91754
Phone (323) 260-7878

Practitioners & affiliated clinicians

Practitioners 1

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": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1568601151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 S. MARGUERITA AVE.",
            "address_2": "#I",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918032450",
            "telephone_number": "626-293-7145",
            "fax_number": "626-432-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2071 S. ALTANTIC BLVD.",
            "address_2": "#F&G",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "91754",
            "telephone_number": "323-260-7878",
            "fax_number": "323-260-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNY PEI LIU, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "PEI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-293-7145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "55450",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55450",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.