Provider Demographics
NPI:1871653816
Name:LIEN, THOI HUE (MD)
Entity Type:Individual
Prefix:
First Name:THOI
Middle Name:HUE
Last Name:LIEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8054 GARVEY AVE
Mailing Address - Street 2:STE 201
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-2449
Mailing Address - Country:US
Mailing Address - Phone:626-287-7022
Mailing Address - Fax:626-280-0428
Practice Address - Street 1:8054 GARVEY AVE STE 201
Practice Address - Street 2:
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-2449
Practice Address - Country:US
Practice Address - Phone:626-280-5035
Practice Address - Fax:626-280-0428
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA75628207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A756280Medicaid
CA00A756280Medicaid