PAUL TC LIU MD, INC NPI 1295934792

Specialist in San Marino, CA

NPI 1295934792 Organization Specialist CLIA Number 05D1055110 CLIA Certificate of Waiver

About PAUL TC LIU MD, INC

Paul Tc Liu Md, Inc is a provider established in San Marino, California specializing in specialist. The NPI number of Paul Tc Liu Md, Inc is 1295934792 and was assigned on July 2007. The practitioner's primary taxonomy code is 174400000X with license number G67740 (CA). The provider is registered as an organization and their NPI record was last updated 15 years ago. Paul Tc Liu Md, Inc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Paul Tc Liu Md (Doctor)

The CLIA number of Paul Tc Liu Md, Inc is 05D1055110 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Paul Tc Liu Md, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1295934792

Provider NamePAUL TC LIU MD, INC
Provider Location Address2233 HUNTINGTON DR SUITE 10 SAN MARINO, CA 91108
Provider Mailing Address2233 HUNTINGTON DR SUITE 10 SAN MARINO, CA 91108
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date07-13-2007
Last Update Date07-13-2007


Primary Taxonomy

Taxonomy Code174400000X
ClassificationSpecialist
TypeOther Service Providers
License No.G67740
License StateCA
Taxonomy DescriptionAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Business Address

PAUL TC LIU MD, INC
2233 HUNTINGTON DR
SUITE 10
SAN MARINO, CA
ZIP 91108
Phone: (626) 796-0821
Fax: (626) 796-0619

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Mailing Address

PAUL TC LIU MD, INC
2233 HUNTINGTON DR
SUITE 10
SAN MARINO, CA
ZIP 91108
Phone: (626) 796-0821
Fax: (626) 796-0619



Authorized Official

Authorized Official Name PAUL TC LIU MD
Authorized Official TitleDOCTOR
Authorized Official Phone(626) 796-0821

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1295934792 is:

CLIA Number05D1055110
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
00G677400MEDICAID (05)CA

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1730195686 PAUL T LIU M.D.
Individual
Internal Medicine (Geriatric Medicine)2233 HUNTINGTON DR # 12
SAN MARINO, CA 91108
(626) 796-0821
1871629600SAN MARINO HOME HEALTH INC
Organization
Home Health2233 HUNTINGTON DR SUITE 3
SAN MARINO, CA 91108
(626) 584-0635
1164544094REGENCY THERAPY RESOURCES
Organization
Occupational Therapy Assistant2233 HUNTINGTON DR SUITE 19
SAN MARINO, CA 91108
(626) 486-0775

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.