ANGELINE LIU
NPI 1750814083
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since April 04, 2017PECOS EnrolledAccepts Medicare Assignment
1526 N EDGEMONT ST FL 7, LOS ANGELES, CA 90027(323) 371-7434 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 2, 2023, Dec 6, 2021 (2 updates tracked since 2021).

About Angeline Liu NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELINE LIU (NPI 1750814083) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Virginia Commonwealth University, School Of Medicine (2017).

NPPES Registry Identity

NPI1750814083
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameANGELINE LIU
Location Address1526 N EDGEMONT ST FL 7Los Angeles, CA 90027-5260
Mailing Address3050 Gainsborough DrPasadena, CA 91107-5577
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2017
Enumeration DateApril 4, 2017
Last NPPES UpdateMay 2, 20232 updates tracked since enumeration
NPPES CertifiedMay 2, 2023
NPI 1750814083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1526 N EDGEMONT ST FL 7, Los Angeles, CA 90027

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Angeline Liu is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375871882
PECOS Enrollment IDI20200316002765
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Internal Medicine
1526 N EDGEMONT ST FL 7, KAISER PERMANENTE LOS ANGELES MEDICAL CENTER
LOS ANGELES, CA 90027
Internal Medicine (Gastroenterology)
1526 N EDGEMONT ST FL 7
LOS ANGELES, CA 90027
Internal Medicine (Gastroenterology)
1526 N EDGEMONT ST FL 7
LOS ANGELES, CA 90027
Nurse Practitioner (Acute Care)
1526 N EDGEMONT ST FL 7
LOS ANGELES, CA 90027

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750814083, enumerated as an "individual" on April 04, 2017.

The provider is located at 1526 N EDGEMONT ST FL 7 LOS ANGELES, CA 90027 and the phone number is (323) 371-7434.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.