Provider Demographics
NPI:1750442372
Name:XUAN LIU, PHD., DDS & JUNLI ZHA, PHD., MD. CORP
Entity Type:Organization
Organization Name:XUAN LIU, PHD., DDS & JUNLI ZHA, PHD., MD. CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DDS., PHD
Authorized Official - Prefix:DR
Authorized Official - First Name:XUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LIU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:949-262-0828
Mailing Address - Street 1:4980 BARRANCA PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-8654
Mailing Address - Country:US
Mailing Address - Phone:949-262-0828
Mailing Address - Fax:949-262-0898
Practice Address - Street 1:4980 BARRANCA PKWY STE 100
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-8654
Practice Address - Country:US
Practice Address - Phone:949-262-0828
Practice Address - Fax:949-262-0898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA524211223G0001X
CAA76073207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty