Dr Kennneth Liu, MD | |
14445 Olive View Dr, Rm 3a116, Sylmar, CA 91342-1437 | |
(818) 364-4350 | |
Not Available |
Full Name | Dr Kennneth Liu |
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Gender | Male |
Speciality | Anesthesiology |
Location | 14445 Olive View Dr, Sylmar, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699931204 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 125053940 (Illinois) | Secondary |
207L00000X | Anesthesiology | A113867 (California) | Primary |
Entity Name | Childrens Hospital Los Angeles Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265530653 PECOS PAC ID: 0143126920 Enrollment ID: O20031211000522 |
Mailing Address | Practice Location Address |
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Dr Kennneth Liu, MD 14445 Olive View Dr, Rm 3a116, Sylmar, CA 91342-1437 Ph: (818) 364-4350 | Dr Kennneth Liu, MD 14445 Olive View Dr, Rm 3a116, Sylmar, CA 91342-1437 Ph: (818) 364-4350 |
Maryetta Ovsepian, MD PHD Anesthesiology Medicare: Medicare Enrolled Practice Location: L4445 Olive View Drive, Sylmar, CA 91342 Phone: 818-364-4350 Fax: 818-364-4775 | |
Aimee I Wu, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 14445 Olive View Dr, Department Of Anesthesiology, Sylmar, CA 91342 Phone: 818-364-4350 | |
Carlos Rafael Rodriguez-aponte, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 14445 Olive View Dr, Sylmar, CA 91342 Phone: 747-210-3000 | |
John Le, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 14445 Olive View Dr Rm 3a108, Sylmar, CA 91342 Phone: 747-210-4350 | |
Dr. Selma H. Calmes, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 14445 Olive View Dr Rm 2c138, Sylmar, CA 91342 Phone: 818-364-3035 | |
Eujin Kim, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 14445 Olive View Dr, Sylmar, CA 91342 Phone: 310-903-7430 | |
Steven Tham, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 14445 Olive View Dr, Room 3a108, Sylmar, CA 91342 Phone: 818-364-4350 Fax: 818-364-4775 |