Provider Demographics
NPI:1518074731
Name:LIU, JAMES HOU (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:HOU
Last Name:LIU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:18102 PIONEER BLVD STE 203
Mailing Address - Street 2:
Mailing Address - City:ARTESIA
Mailing Address - State:CA
Mailing Address - Zip Code:90701-4406
Mailing Address - Country:US
Mailing Address - Phone:562-653-9889
Mailing Address - Fax:562-924-6189
Practice Address - Street 1:1730 S SAN GABRIEL BLVD # C
Practice Address - Street 2:
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776-3928
Practice Address - Country:US
Practice Address - Phone:626-572-0889
Practice Address - Fax:626-280-2789
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG64811207R00000X, 207RC0000X, 207RC0001X
TXK0898207R00000X, 207RC0000X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
00G648111OtherTRICARE
00G648111OtherBLUE CROSS/BLUE SHIELD
CA00G648111Medicaid
G64811Medicare ID - Type Unspecified
00G648111OtherTRICARE