Donna Lieu DDS Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DONNA LIEU DDS INC.

Practice address

6200 Wilshire Blvd Ste 1109
Los Angeles, CA 90048-5812

Phone

(323) 933-9349

NPI assigned

Aug 15, 2018

Organization subpart

No

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

Authorized official

Name

Donna Lieu

Title

Ceo

Phone

(323) 933-9349

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Beverly Grove Dentistry Doing business as

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534291200000",
    "number": "1912487372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 WILSHIRE BLVD STE 1109",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485812",
            "telephone_number": "323-933-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 WILSHIRE BLVD STE 1109",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485812",
            "telephone_number": "323-933-9349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA LIEU DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A",
        "authorized_official_last_name": "LIEU",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-933-9349"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1225288525",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beverly Grove Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Donkin, PNP
• Austin Donley, DPT
• Maureen Donley, MFT
• Donna Gallik MD, a Medical Corporation
• Donna Lieu DDS Inc
• Donna M Gallik
• Alisha Donnell, MSW
• Myeva T Donnell
• Jenavieve Donnelly, LCSW
• William Edward Donnelly, LCSW

• Dental Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.