| Owen Liao, NP | |
|
501 S Woods Ave, East Los Angeles, CA 90022-1976 | |
| (323) 268-9191 | |
| Not Available |
| Full Name | Owen Liao |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 501 S Woods Ave, East Los Angeles, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164192860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 95018363 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95018363 (California) | Primary |
| Entity Name | Carbon Health Medical Group Of California Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417294232 PECOS PAC ID: 9032340047 Enrollment ID: O20140314001276 |
| Mailing Address | Practice Location Address |
|---|---|
| Owen Liao, NP 501 S Woods Ave, East Los Angeles, CA 90022-1976 Ph: (323) 268-9191 | Owen Liao, NP 501 S Woods Ave, East Los Angeles, CA 90022-1976 Ph: (323) 268-9191 |
Dr. Phuong Linh Hussain, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4816 E 3rd St, East Los Angeles, CA 90022 Phone: 323-780-4510 | |
Christopher James Bacon, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6201 Whittier Blvd, East Los Angeles, CA 90022 Phone: 323-728-7232 | |
Ms. Hee-seon Yu, WNHP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 245 S Fetterly Ave, East Los Angeles, CA 90022 Phone: 661-932-2813 | |
Alana Backstrom, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5015 Whittier Blvd, East Los Angeles, CA 90022 Phone: 323-268-9191 | |
Miss Brenda Guadiana, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4755 E Cesar E Chavez Ave, East Los Angeles, CA 90022 Phone: 323-268-9191 |