Liu, Jiandong

Liu, Jiandong is an individual health care provider with primary practice located at 2902 E Virginia Ave #12, West Covina CA 91791-2159. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Liu, Jiandong can be contacted via phone (626) 676-0172.

Contact Information

Primary practice address
2902 E Virginia Ave #12 West Covina CA 91791-2159
Phone: (626) 676-0172
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 45913 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A96949 California

Profile Details

NPI number 1649238130
LBN Legal business name Liu, Jiandong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Nov 29th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649238130 NPPES
Wisconsin MEDICAID 34808800

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