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DONNA LIEU DDS INC. NPI 1912487372


NPI Information

NPI: 1912487372
Provider Name: DONNA LIEU DDS INC.

Doing Business As: BEVERLY GROVE DENTISTRY

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
6200 WILSHIRE BLVD STE 1109
LOS ANGELES, CA
ZIP 90048
Phone: (323) 933-9349
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DONNA LIEU DDS INC. is a dental clinic center in Los Angeles, CA. DONNA LIEU DDS INC. NPI is 1912487372. The provider is registered as an organization entity type.
The provider Is Doing Business As Beverly Grove Dentistry.

The provider's business location address is:

6200 WILSHIRE BLVD STE 1109
LOS ANGELES, CA
ZIP 90048-812
Phone: (323) 933-9349

The provider's authorized official is Donna Lieu .
The authorized official title is Ceo and has the following contact phone number (323) 933-9349.

The enumeration date for this NPI number is 8/15/2018 and was last updated on 8/15/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDentalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11225288525OTHERNPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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