LIEU S. NGUYEN, M.D., A PROFESSIONAL CORPORATION (NPI# 1215021167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215021167 |
| Entity Type | Organization |
| Organization Name | LIEU S. NGUYEN, M.D., A PROFESSIONAL CORPORATION |
| Practice Address |
15032 Prairie Ave Hawthorne CA 90250-8316 |
| Practice Telephone | 3106757343 |
| Practice Fax Number | 3106751951 |
| Mailing Telephone | 3106757343 |
| Mailing Fax Number | 3106751951 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2014-12-04 |
| Authorized Official Name | DR. LIEU SANH NGUYEN (PHYSICIAN/CEO) |
| Authorized Official Telephone | 3106757343 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A43217 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A432170 | 05 |
| Street Address |
15032 PRAIRIE AVE |
| City | HAWTHORNE |
| State | CA |
| Zip Code | 90250-8316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479627 | Alexis Lemmon | Dental Hygienist | 13450 Hawthrone Blvd, Hawthorne, CA 90250 | 2020-08-28 |
| 1336620459 | Lan Ngoc Ton | Dentist | 13450 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2018-08-27 |
| 1356829261 | Karneth Health Inc | Internal Medicine | 4512 W. Imperial Hwy, Ste B, Hawthorne, CA 90250 | 2018-08-02 |
| 1225524663 | Viridian Healthcare LLC | In Home Supportive Care | 13658 Hawthorne Blvd Ste 201, Hawthorne, CA 90250 | 2018-07-09 |
| 1235636044 | Sonia Medical Center Inc | Clinic/Center | 4512 W Imperial Hwy, Hawthorne, CA 90250 | 2018-04-09 |
| 1518484807 | Jessica Anne-marie Auzenne-harris | Nurse Practitioner | 12618 Hawthorne Blvd, Hawthorne, CA 90250 | 2017-08-28 |
| 1669993358 | Ololade Olamide Obafemi | Nurse Practitioner | 12954 Hawthorne Boulevard, Suite 104, Hawthorne Morningside Medical Clinic, Hawthorne, CA 90250 | 2017-07-03 |
| 1588194534 | Marissam Medical Inc. | Durable Medical Equipment & Medical Supplies | 13508 Inglewood Ave, Hawthorne, CA 90250 | 2017-06-13 |
| 1043751886 | Ogbonna Iwuamadi Olelewe | Nurse Practitioner | 11712 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2017-03-13 |
| 1952758898 | La Shada Kai Martin | Contractor | 13010 Kornblum Ave, Unit D, Hawthorne, CA 90250 | 2016-05-20 |
| Find all providers in zip 90250 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710512843 | Daisy Warren | Family Medicine | 12501 Oxford Ave Apt A, Hawthorne, CA 90250-4884 | 2020-03-09 |
| 1396189288 | Gregory Vanepps | Family Medicine | 3615 Jack Northrop Ave Ste 100, Hawthorne, CA 90250-4436 | 2013-04-22 |
| 1538468269 | Open Arms Medical Center At | Family Medicine | 6435 Se Us Highway 301, Hawthorne, FL 32640-7309 | 2011-03-21 |
| 1851507610 | Denise Nicole Smith | Family Medicine | 4455 W 117th Street Suite 200, Hawthorne, CA 90250-2241 | 2007-05-15 |
| 1588878300 | Hawthorne Family Practice | Family Medicine | 1083 Goffle Rd, Hawthorne, NJ 07506-2025 | 2007-05-10 |
| 1467517334 | Avril D Anthony-wilson | Family Medicine | 1114 Goffle Rd, Hawthorne, NJ 07506-2014 | 2006-12-22 |
| 1023196318 | Hawthorne Medical Center, Inc. | Family Medicine | 21815 S.e .71st Avenue, Hawthorne, FL 32640-3974 | 2006-11-02 |
| 1841214285 | Lieu Nguyen | Family Medicine | 15032 S Prairie Ave, Hawthorne, CA 90250 | 2006-07-27 |
| 1548295066 | Janet Fahem Soliman | Family Medicine | 11946 Hawthorne Blvd, Hawthorne, CA 90250-3016 | 2006-07-12 |
| 1750327235 | Khalid B. Khan M.d., Inc | Family Medicine | 13425 Inglewood Ave, Hawthorne, CA 90250-5608 | 2006-06-21 |
| Find all providers in HAWTHORNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.