| Minghsun Liu, M.d., Ph.d., P.c. | |
|
11103 Venice Blvd Los Angeles CA 90034-6914 | |
| (310) 734-8526 | |
| (310) 734-8470 |
| Full Name | Minghsun Liu, M.d., Ph.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 11103 Venice Blvd, Los Angeles, California |
| Authorized Official Name and Position | Minghsun Liu (OWNER) |
| Authorized Official Contact | 6502247359 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minghsun Liu, M.d., Ph.d., P.c. 11103 Venice Blvd Los Angeles CA 90034-6914 Ph: (310) 734-8526 | Minghsun Liu, M.d., Ph.d., P.c. 11103 Venice Blvd Los Angeles CA 90034-6914 Ph: (310) 734-8526 |
| NPI Number | 1447405204 |
|---|---|
| Provider Enumeration Date | 11/20/2008 |
| Last Update Date | 07/28/2012 |
| Medicare PECOS PAC ID | 3375606601 |
|---|---|
| Medicare Enrollment ID | O20090113000838 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447405204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | A85950 (California) | Primary |
| Provider Name | Minghsun Liu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518096270 PECOS PAC ID: 3577626803 Enrollment ID: I20100917000562 |
| Provider Name | Shuhua Guo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114547072 PECOS PAC ID: 4880071950 Enrollment ID: I20230512000355 |
| Provider Name | Anahid Rahimi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982062303 PECOS PAC ID: 7810351103 Enrollment ID: I20230920001056 |
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