Yiwen Liu, DDS, a Professional Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

46875 Issued in CA

Legal business name

YIWEN LIU, DDS, A PROFESSIONAL CORPORATION

Practice address

11103 Venice Blvd
Los Angeles, CA 90034-6914

Phone

(310) 559-9191

Fax

(310) 559-9797

NPI assigned

Oct 5, 2007

Last updated

Oct 5, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Yiwen Liu, D.D.S.NPI 1669534442

Title

President

Phone

(310) 559-9191

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Yiwen Liu, D.D.S.

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1669534442
  NPD (past) Authorized official

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1588852479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 BELOIT AVE APT 304",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256263",
            "telephone_number": "310-486-9989",
            "fax_number": "310-478-3535"
        },
        {
            "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": "310-559-9191",
            "fax_number": "310-559-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YIWEN LIU, DDS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "YIWEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-559-9191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "46875",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "G93826-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry Yip, PA-C
• Brook Yirgu, MD
• Gloria Yiu, M.D., PH.D.
• Samuel Yiu, M.D.
• Ryan Yiv
• Jude Brian Ylanan, R.P.T.
• Jordan Hertz Ylauan, DPT
• Julie Ursula Yllescas, MSW
• Ymg Residential Care, Inc.
• Yn Healthcare LLC (Nature Acupuncture & Herbs)

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.