Live Oak Medical Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A50735 Issued in CA

Legal business name

LIVE OAK MEDICAL INC

Practice address

20 E Huntington Dr
Arcadia, CA 91006-3209

Phone

(626) 447-8000

Fax

(626) 447-8002

NPI assigned

Jun 28, 2005

Organization subpart

No

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

Authorized official

Name

Jeffrey Wang

Title

Cfo

Phone

(626) 447-8000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Ida Wang, M.D.

  • Internal Medicine Physician
  • Arcadia, CA
  • NPI 1164429585
  Medicare reassignment
• Ryan Wang, DO

  • Student in an Organized Health Care Education/Training Program
  • Riverside, CA
  • NPI 1518545771
  NPD
• John Li, L.AC

  • Acupuncturist
  • Arcadia, CA
  • NPI 1891942611
  NPD (past)

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1750387379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E HUNTINGTON DR",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063209",
            "telephone_number": "626-447-8000",
            "fax_number": "626-447-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E HUNTINGTON DR",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063209",
            "telephone_number": "626-447-8000",
            "fax_number": "626-447-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE OAK MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "626-447-8000"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A50735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• June-Chih Liu, M.D.
• Rosalyn Juo-Lien Liu, P.T.
• Tricia Liu
• Xiushi Suzy Liu, M.D.
• Yen-Hsin Liu, L.AC.
• Brian Liyanto
• Ethan Philip Lo
• Jeanie Zhener Lo, APCC
• Peggy Chui-May Lo
• Sunny Lo, D.O.

• Internal Medicine Physician in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.