Provider / Organization | NPI | Date Certified |
---|---|---|
LIWEN XU | 1093219602 | 2022-09-18 |
Liwen Xu is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1093219602. Registration indicates Liwen Xu is a provider of access to ob/gyn services with a specialization in Allopathic & Osteopathic Physicians, Obstetrics & Gynecology (Allopathic & Osteopathic Physicians, Obstetrics & Gynecology) (Obstetrics & Gynecology, ) (Specialist Network, ) (Obstetrics & Gynecology, Allopathic & Osteopathic Physicians)
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Liwen Xu MD |
Practice Office Address | 5300 MCCONNELL AVE LOS ANGELES, CA US |
Practice Office Telephone | 8009548000 |
Mailing Address | 1738 S BENTLEY AVE APT 102 LOS ANGELES, CA 900254368 US |
Address | City / State | Phone / Fax |
---|---|---|
6041 Cadillac Ave | Los Angeles, CA 900341702 | 8009548000 |
Carequality [C-CDA] | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) Southern California Permanente Medical Group |
Code | Practice | License No State |
---|---|---|
207V00000X PRIMARY | Access to OB/GYN Allopathic & Osteopathic Physicians Obstetrics & Gynecology Allopathic & Osteopathic Physicians Obstetrics & Gynecology Obstetrics & Gynecology Specialist Network Obstetrics & Gynecology Allopathic & Osteopathic Physicians | 164400
CA |