| Minghsun Liu, M.d., Pc | |
|
11103 Venice Blvd Los Angeles CA 90034-6914 | |
| (954) 923-7440 | |
| (954) 923-1299 |
| Full Name | Minghsun Liu, M.d., Pc |
|---|---|
| Speciality | General Practice |
| Location | 11103 Venice Blvd, Los Angeles, California |
| Authorized Official Name and Position | Minghsun Liu (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9549237440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minghsun Liu, M.d., Pc 200 S Park Rd Ste 200 Hollywood FL 33021-8541 Ph: (954) 923-7440 | Minghsun Liu, M.d., Pc 11103 Venice Blvd Los Angeles CA 90034-6914 Ph: (954) 923-7440 |
| NPI Number | 1518309368 |
|---|---|
| Provider Enumeration Date | 07/22/2013 |
| Last Update Date | 04/20/2023 |
| Medicare PECOS PAC ID | 6608004775 |
|---|---|
| Medicare Enrollment ID | O20140117000335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518309368 | NPI | - | NPPES |
| A85950 | Other | CA | MEDICAL BOARD OF CALIFORNIA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Stanley Lowe |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083627285 PECOS PAC ID: 3678567435 Enrollment ID: I20040413001755 |
| Provider Name | Deborah Louise Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174774368 PECOS PAC ID: 3971664640 Enrollment ID: I20081213000019 |
| Provider Name | Karen L Ingram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487831608 PECOS PAC ID: 2466517024 Enrollment ID: I20090220000078 |
| Provider Name | Nima Yavari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033355904 PECOS PAC ID: 9931266236 Enrollment ID: I20090331000210 |
| Provider Name | Ervin Tagarao Vergara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861585150 PECOS PAC ID: 7113073917 Enrollment ID: I20090921000129 |
| Provider Name | Karen S Pabalan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487971404 PECOS PAC ID: 7810021995 Enrollment ID: I20100811000221 |
| Provider Name | Minghsun Liu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518096270 PECOS PAC ID: 3577626803 Enrollment ID: I20100917000562 |
| Provider Name | Kathryn A Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538332325 PECOS PAC ID: 7719142793 Enrollment ID: I20120625000258 |
| Provider Name | Jeffrey Lee Galitz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1861485112 PECOS PAC ID: 2567358484 Enrollment ID: I20140421000822 |
| Provider Name | Ann M Whaley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831595966 PECOS PAC ID: 3971818691 Enrollment ID: I20150810002571 |
| Provider Name | Shaheen Emmanuel Lakhan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649585944 PECOS PAC ID: 4082937255 Enrollment ID: I20151105000541 |
| Provider Name | Tyisha Renee Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144687047 PECOS PAC ID: 4981909827 Enrollment ID: I20160301002131 |
| Provider Name | Dodjie S Hilario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942634159 PECOS PAC ID: 9638475031 Enrollment ID: I20160310002373 |
| Provider Name | Tara Marchido |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922350255 PECOS PAC ID: 3779870621 Enrollment ID: I20160921001398 |
| Provider Name | Kornelia Anna Kopec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083982987 PECOS PAC ID: 6305124835 Enrollment ID: I20161103000598 |
| Provider Name | Eunice Marie Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841608015 PECOS PAC ID: 2163790692 Enrollment ID: I20170623002377 |
| Provider Name | Elizabeth W Mburu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154726974 PECOS PAC ID: 8628338837 Enrollment ID: I20180208001747 |
| Provider Name | Michael S Radi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861989790 PECOS PAC ID: 8325393440 Enrollment ID: I20180613002723 |
| Provider Name | Cleotilde V Zamora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821545070 PECOS PAC ID: 2264787175 Enrollment ID: I20180618002512 |
| Provider Name | Justin S Ching |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780057463 PECOS PAC ID: 9931455490 Enrollment ID: I20180713000779 |
| Provider Name | Denise L Mah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083114508 PECOS PAC ID: 5890604532 Enrollment ID: I20180809005795 |
| Provider Name | Keiko L Mimura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932142544 PECOS PAC ID: 8729227442 Enrollment ID: I20180810001745 |
| Provider Name | Agnes Arorong Esteva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619482718 PECOS PAC ID: 2163774563 Enrollment ID: I20181012002244 |
| Provider Name | Nancy Mwania |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730681602 PECOS PAC ID: 5395083695 Enrollment ID: I20190212001757 |
| Provider Name | Belinda A Addo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437517489 PECOS PAC ID: 6800182072 Enrollment ID: I20190710002326 |
| Provider Name | Bor-han Chiu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306239470 PECOS PAC ID: 2466758933 Enrollment ID: I20190722000766 |
| Provider Name | Eleanor Michelle Mccart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467910075 PECOS PAC ID: 3678907607 Enrollment ID: I20191230001385 |
| Provider Name | Alana M Swift |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497399430 PECOS PAC ID: 8224464805 Enrollment ID: I20200129002133 |
| Provider Name | Harmeet K Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578049128 PECOS PAC ID: 6305276098 Enrollment ID: I20200421000802 |
| Provider Name | Jianhong He |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699278978 PECOS PAC ID: 8628408325 Enrollment ID: I20200421001081 |
| Provider Name | Emma J Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255809372 PECOS PAC ID: 3274963913 Enrollment ID: I20200421003102 |
| Provider Name | Uyen H Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346803152 PECOS PAC ID: 4284059767 Enrollment ID: I20200730002625 |
| Provider Name | Melissa Mustafa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639715477 PECOS PAC ID: 5294153532 Enrollment ID: I20200917002623 |
| Provider Name | Anna Sabrina Paningbatan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063015162 PECOS PAC ID: 4688898554 Enrollment ID: I20210205001672 |
| Provider Name | Armine Gukasyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881280295 PECOS PAC ID: 4183031149 Enrollment ID: I20210318002864 |
| Provider Name | Mutya Joyce B De Guzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851933980 PECOS PAC ID: 4587071154 Enrollment ID: I20210326000427 |
| Provider Name | Favour C Olekanma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205415353 PECOS PAC ID: 8022418607 Enrollment ID: I20210618001214 |
| Provider Name | Peace Kwamboka Moenga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194305623 PECOS PAC ID: 9436256419 Enrollment ID: I20210622000574 |
| Provider Name | Munir Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316510332 PECOS PAC ID: 9133524119 Enrollment ID: I20210830001821 |
| Provider Name | Maricar Rellora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518632074 PECOS PAC ID: 6709278906 Enrollment ID: I20220120002015 |
| Provider Name | Leesa Simanton Booth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043899099 PECOS PAC ID: 3476945320 Enrollment ID: I20220126001906 |
| Provider Name | Marco Juarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295490209 PECOS PAC ID: 6204125438 Enrollment ID: I20220126002323 |
| Provider Name | Shaghayegh Oveis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154089555 PECOS PAC ID: 4183018948 Enrollment ID: I20220222001336 |
| Provider Name | Alekseky Inokhodov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306506126 PECOS PAC ID: 0244625770 Enrollment ID: I20220321001707 |
| Provider Name | Jessila Woodson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154787497 PECOS PAC ID: 0547551038 Enrollment ID: I20220414000946 |
| Provider Name | April Arra Mendoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821228503 PECOS PAC ID: 5890182919 Enrollment ID: I20220420000622 |
| Provider Name | Bernadette De Guzman Mercado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659042596 PECOS PAC ID: 1658768148 Enrollment ID: I20220502002047 |
| Provider Name | Rosy Isela Javier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780255216 PECOS PAC ID: 1355729344 Enrollment ID: I20220603000001 |
| Provider Name | Sally Sayasa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396497087 PECOS PAC ID: 3375922651 Enrollment ID: I20220616000548 |
| Provider Name | Monica Cruz Araneta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093450876 PECOS PAC ID: 0547649618 Enrollment ID: I20220620001786 |
| Provider Name | Ana B Meza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750024816 PECOS PAC ID: 9335528926 Enrollment ID: I20220628003017 |
| Provider Name | Heather Marie Keaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124780408 PECOS PAC ID: 6406231562 Enrollment ID: I20220910000443 |
| Provider Name | Kenyawn J Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265659247 PECOS PAC ID: 0547645855 Enrollment ID: I20220921004013 |
| Provider Name | Tamayo Murayama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093436552 PECOS PAC ID: 8527434794 Enrollment ID: I20221013002113 |
| Provider Name | Jenniefer Chong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588218523 PECOS PAC ID: 3577938331 Enrollment ID: I20230407001871 |
| Provider Name | Holly Vanderhyde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033773379 PECOS PAC ID: 8426415480 Enrollment ID: I20230606002880 |
| Provider Name | Annette Grace Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013634823 PECOS PAC ID: 7416314349 Enrollment ID: I20230607002108 |
| Provider Name | Olga Auten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720692130 PECOS PAC ID: 2264891670 Enrollment ID: I20230703001949 |
| Provider Name | Conrado Guadiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942937768 PECOS PAC ID: 2769846948 Enrollment ID: I20230907001538 |
| Provider Name | Tamara Sue Pippin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508569567 PECOS PAC ID: 8628422532 Enrollment ID: I20231012000085 |
| Provider Name | Preston Kyle Lonis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285254623 PECOS PAC ID: 1951758366 Enrollment ID: I20231107001678 |
| Provider Name | Deante J. Markey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982393716 PECOS PAC ID: 6901256569 Enrollment ID: I20231221003041 |
| Provider Name | Roxana Briscoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740067958 PECOS PAC ID: 4981040086 Enrollment ID: I20240312001481 |
| Provider Name | Audrey C Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811753676 PECOS PAC ID: 8729425822 Enrollment ID: I20240325003981 |
| Provider Name | Manon Gabrielle Vrain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710123427 PECOS PAC ID: 6002253077 Enrollment ID: I20240326002647 |
| Provider Name | Liliya Shamilyevna Urena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043071087 PECOS PAC ID: 8820435837 Enrollment ID: I20240326004288 |
| Provider Name | Sima Siddiq |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619467925 PECOS PAC ID: 7517307945 Enrollment ID: I20240501003302 |
| Provider Name | Yevgeniy Glukhovsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013566520 PECOS PAC ID: 2365985249 Enrollment ID: I20240620000430 |
| Provider Name | Margaret E Hashaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174385389 PECOS PAC ID: 0941745848 Enrollment ID: I20240716001850 |
| Provider Name | Ikechukwu Charles Nwabuobi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083283634 PECOS PAC ID: 5799221115 Enrollment ID: I20240722003597 |
| Provider Name | Napoleon Escalante Villasis Jr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437834603 PECOS PAC ID: 3577094382 Enrollment ID: I20241003003800 |
| Provider Name | Cesar Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821837352 PECOS PAC ID: 7416481890 Enrollment ID: I20241107001271 |
| Provider Name | Lashara Renita Maea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295551851 PECOS PAC ID: 8820527625 Enrollment ID: I20250123001789 |
| Provider Name | Monica Fierro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538946041 PECOS PAC ID: 5395275499 Enrollment ID: I20250204003727 |
| Provider Name | Katie Da Thao Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760263636 PECOS PAC ID: 0547790222 Enrollment ID: I20250211000724 |
| Provider Name | Alexandra My Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598575128 PECOS PAC ID: 3173053436 Enrollment ID: I20250217000649 |
| Provider Name | Brandie Baque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285166744 PECOS PAC ID: 0547539884 Enrollment ID: I20250421001106 |
| Provider Name | Elizabeth Temitope Oluwole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467008441 PECOS PAC ID: 9739606401 Enrollment ID: I20250506002410 |
Joseph I Kang Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3755 Beverly Blvd, Ste 301, Los Angeles, CA 90004 Phone: 323-664-7777 | |
Special Service For Groups, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5811 S San Pedro St, Los Angeles, CA 90011 Phone: 213-553-1800 | |
Altamed Health Services Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Citadel Dr, Ste 490, Los Angeles, CA 90040 Phone: 323-725-8751 Fax: 323-889-7399 | |
Altamed Health Services Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5425 Pomona Blvd, Los Angeles, CA 90022 Phone: 323-832-7527 Fax: 323-832-7599 | |
Apla Health & Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 S Kingsley Dr, Los Angeles, CA 90005 Phone: 213-201-1623 Fax: 213-201-1595 | |
Hyo Rang Lee Md Phd Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4465 Wilshire Blvd, Ste 303, Los Angeles, CA 90010 Phone: 213-254-7103 Fax: 714-220-2301 | |
Croft Living Home, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 458 N Croft Ave, Los Angeles, CA 90048 Phone: 323-655-5060 Fax: 323-651-1461 |