| Winson Liu, M.d., Inc. | |
|
3838 Sherman Dr Suite 10 Riverside CA 92503-4001 | |
| (951) 688-3849 | |
| (951) 688-8045 |
| Full Name | Winson Liu, M.d., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 3838 Sherman Dr, Riverside, California |
| Authorized Official Name and Position | Winson Liu (PRESIDENT) |
| Authorized Official Contact | 9516883849 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Winson Liu, M.d., Inc. 3838 Sherman Dr Suite 10 Riverside CA 92503-4001 Ph: (951) 688-3849 | Winson Liu, M.d., Inc. 3838 Sherman Dr Suite 10 Riverside CA 92503-4001 Ph: (951) 688-3849 |
| NPI Number | 1467554287 |
|---|---|
| Provider Enumeration Date | 09/02/2006 |
| Last Update Date | 11/19/2007 |
| Medicare PECOS PAC ID | 7214909357 |
|---|---|
| Medicare Enrollment ID | O20040810000593 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467554287 | NPI | - | NPPES |
| 00A643290 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A64329 (California) | Primary |
| Provider Name | Winson Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861594681 PECOS PAC ID: 7618949744 Enrollment ID: I20040810000554 |
| Provider Name | Ming-chuan Chang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982996898 PECOS PAC ID: 2466722376 Enrollment ID: I20170726001958 |
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