Jiandong Liu, MD | |
2902 E Virginia Ave, #12, West Covina, CA 91791-2159 | |
(626) 676-0172 | |
Not Available |
Full Name | Jiandong Liu |
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Gender | Male |
Speciality | Internal Medicine |
Location | 2902 E Virginia Ave, West Covina, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649238130 | NPI | - | NPPES |
34808800 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 45913 (Wisconsin) | Secondary |
207R00000X | Internal Medicine | A96949 (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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Jiandong Liu, MD 2902 E Virginia Ave, #12, West Covina, CA 91791-2159 Ph: (626) 676-0172 | Jiandong Liu, MD 2902 E Virginia Ave, #12, West Covina, CA 91791-2159 Ph: (626) 676-0172 |
Seung Sue Cua, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1433 W Merced Ave, Ste 114-8, West Covina, CA 91790 Phone: 626-960-4939 Fax: 626-960-5520 | |
Fu-cheng Chuang, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1115 S Sunset Ave Ste 200, West Covina, CA 91790 Phone: 626-732-8390 Fax: 626-732-8399 | |
Mr. Mumtaz Akram, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 906 S Sunset Ave, West Covina, CA 91790 Phone: 626-960-9455 Fax: 626-960-0833 | |
Dr. Michelle El-hajjaoui, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1115 S Sunset Ave Ste 200, West Covina, CA 91790 Phone: 626-732-8390 Fax: 626-631-0951 | |
Mr. Hee Yong Oh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1433 W Merced Ave Ste 207, West Covina, CA 91790 Phone: 626-962-2421 Fax: 626-962-8345 | |
Anildeep Singh Gill, Internal Medicine Medicare: Medicare Enrolled Practice Location: 1115 S Sunset Ave, West Covina, CA 91790 Phone: 626-962-4011 | |
Dr. Kenneth Tye, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1250 S Sunset Ave, West Covina, CA 91790 Phone: 626-960-6588 Fax: 626-338-0688 |