Provider Demographics
NPI:1679676779
Name:LIU & WANG MEDICAL CORP
Entity Type:Organization
Organization Name:LIU & WANG MEDICAL CORP
Other - Org Name:URGENTCARE MEDICAL CENTER OF ROWLAND HEIGHTS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:ZUNE
Authorized Official - Middle Name:HOU
Authorized Official - Last Name:LIU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-964-1120
Mailing Address - Street 1:1118 S GARFIELD AVE
Mailing Address - Street 2:#201
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-4713
Mailing Address - Country:US
Mailing Address - Phone:626-281-0090
Mailing Address - Fax:626-281-0590
Practice Address - Street 1:18395 E COLIMA RD
Practice Address - Street 2:
Practice Address - City:ROWLAND HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91748-2749
Practice Address - Country:US
Practice Address - Phone:626-964-1120
Practice Address - Fax:626-964-0590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA61726207R00000X
CAA61785207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR00944200Medicaid
CAGR00944200Medicaid