Yiwen Liu, Dds, A Professional Corporation in Los Angeles - General Practice

Yiwen Liu, Dds, A Professional Corporation - NPI 1588852479

Yiwen Liu, Dds, A Professional Corporation is a General Practice in Los Angeles, California. Yiwen Liu, Dds, A Professional Corporation practices all healthcare services and medical treatments related to General Practice. The NPI Number for Yiwen Liu, Dds, A Professional Corporation is 1588852479. The last update date is 2007-10-05.

Yiwen Liu, Dds, A Professional Corporation's current location address is 11103 Venice Blvd, Los Angeles, California. You can contact this provider via phone number 3105599191 and fax number 3105599797. The mailing address for Yiwen Liu, Dds, A Professional Corporation is 11103 Venice Blvd, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Yiwen Liu, Dds, A Professional Corporation
Address 11103 Venice Blvd, Los Angeles, California
Phone Number 3105599191
Fax Number 3105599797
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Liu Yiwen
Credentials D.D.S.
Telephone Number 3105599191

NPI Number Detail

NPI Number 1588852479
Provider Enumeration Date 2007-10-05
Last Updated Date 2007-10-05

Provider Mailing Address Detail

Address 11103 Venice Blvd
City Los Angeles
State California (CA)
Post Code 900346914
Phone Number 3105599191
Fax Number 3105599797

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 46875
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
46875 CA STATE LICENSE NUMBER
G93826-01 CA DENTI-CAL

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FAQs about Yiwen Liu, Dds, A Professional Corporation

What is the unique identifier code issued to Yiwen Liu, Dds, A Professional Corporation by the Centers for Medicare & Medicaid Services (CMS)?

The Yiwen Liu, Dds, A Professional Corporation has been assigned the NPI (National Provider Identifier) 1588852479. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Yiwen Liu, Dds, A Professional Corporation is located?

The Yiwen Liu, Dds, A Professional Corporation is situated at the following address: 11103 Venice Blvd, Los Angeles, CA, 900346914.

What is Yiwen Liu, Dds, A Professional Corporation's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Yiwen Liu, Dds, A Professional Corporation's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1588852479 to Yiwen Liu, Dds, A Professional Corporation?

The Centers for Medicare & Medicaid Services originally issued the 1588852479 to Yiwen Liu, Dds, A Professional Corporation on 2007-10-05.

When was the information related to Yiwen Liu, Dds, A Professional Corporation most recently updated or refreshed?

The details pertaining to the Yiwen Liu, Dds, A Professional Corporation, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-10-05.

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