Dr Kenneth A Liu, MD | |
27309 Madison Ave, Temecula, CA 92590-5685 | |
(951) 302-4209 | |
(951) 302-4517 |
Full Name | Dr Kenneth A Liu |
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Gender | Male |
Speciality | Pediatrics |
Location | 27309 Madison Ave, Temecula, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619945417 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 108761 (Missouri) | Secondary |
208000000X | Pediatrics | A98315 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
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Dr Kenneth A Liu, MD 27309 Madison Ave, Kaiser Permanente Temcula Medical Office Building, Temecula, CA 92590-5685 Ph: (951) 302-4209 | Dr Kenneth A Liu, MD 27309 Madison Ave, Temecula, CA 92590-5685 Ph: (951) 302-4209 |
Dr. Lisa D Reed, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 27555 Ynez Rd, Ste 370, Temecula, CA 92591 Phone: 951-699-3299 | |
Yara Matta, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 31537 Rancho Pueblo Rd Ste 102, Temecula, CA 92592 Phone: 866-228-2236 | |
Dr. Rothtida Srey, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 31573 Rancho Pueblo Rd Ste 102, Temecula, CA 92592 Phone: 951-528-2185 Fax: 951-527-5651 | |
Wendy To, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 27309 Madison Ave, Temecula, CA 92590 Phone: 833-574-2273 | |
Hillary Avera, PHYSICIAN ASSISTANT Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 41238 Margarita Rd Ste 106, Temecula, CA 92591 Phone: 760-780-2159 | |
Dr. Brandy N Le, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 31170 Temecula Pkwy Ste 200, Temecula, CA 92592 Phone: 951-699-3299 Fax: 951-302-1313 | |
Justin Ata Salehi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 41238 Margarita Rd Ste 106, Temecula, CA 92591 Phone: 951-506-9392 |