Provider Demographics
NPI:1932291648
Name:LIEN, JOHN HAU (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:HAU
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 1:200 JOSE FIGUERES AVE
Mailing Address - Street 2:#330
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-1590
Mailing Address - Country:US
Mailing Address - Phone:408-251-7900
Mailing Address - Fax:408-258-3100
Practice Address - Street 1:200 JOSE FIGUERES AVE
Practice Address - Street 2:#330
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1590
Practice Address - Country:US
Practice Address - Phone:408-251-7900
Practice Address - Fax:408-258-3100
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2009-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0G63910207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G639100Medicaid
CABL866ZMedicare PIN
CAE76797Medicare UPIN