DR. DAVID SHANGKANG LIAO (NPI# 1962541847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962541847 |
| Entity Type | Individual |
| Full Name | DR. DAVID SHANGKANG LIAO |
| Credential | M.D.,PH.D. |
| Practice Address |
1127 Wilshire Blvd Suite 1620 Los Angeles CA 90017-3901 |
| Practice Telephone | 2134838810 |
| Mailing Telephone | 2134838810 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2011-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | A112736 | CA | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 231238 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2141892 | 05 | |
| CA | ZZZ74423Z | 05 | |
| CA | MEDICARE | W3452 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700402559 | David Liao Jr. | Physical Medicine & Rehabilitation | 2102 Orleans St, Detroit, MI 48207-2769 | 2020-06-17 |
| 1700999141 | David Y Liao | Orthopaedic Surgery | 3900 Joe Ramsey Blvd, Bldg 1, Greenville, TX 75401 | 2006-08-17 |
| 1841827581 | David Zhou Liao | Student in an Organized Health Care Education/Training Program | 1468 Madison Ave, New York, NY 10029-6508 | 2020-03-24 |
| 1245712082 | David Liao | Pharmacist | 520 Cleveland Ave Se, Tumwater, WA 98501-3313 | 2018-08-29 |
| 1578007753 | David Liao | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2016-12-07 |
| 1659430379 | David Liao | Internal Medicine | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2006-12-08 |
| 1316979909 | David Liao | Internal Medicine | 16200 Sand Canyon Ave, Irvine, CA 92618-3714 | 2006-07-06 |
| 1861433419 | David Liao | Internal Medicine | 1330 Rockefeller Ave, Suite 330, Everett, WA 98201-1684 | 2006-06-08 |
| Street Address |
1127 WILSHIRE BLVD SUITE 1620 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90017-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114926730 | Jeffrey Merrick Sage | Ophthalmology | 1127 Wilshire Blvd, Suite 1600, Los Angeles, CA 90017-3901 | 2005-07-15 |
| 1225563281 | Jeffrey M Sage D.o. Inc. | Ophthalmology | 1127 Wilshire Blvd, Suite 1600, Los Angeles, CA 90017-3901 | 2017-04-27 |
| 1467996793 | Select Surgical, LLC | Clinic/Center | 1127 Wilshire Blvd, Suite 1000, Los Angeles, CA 90017-3901 | 2016-12-06 |
| 1427509140 | Soha Dolatabadi Md A Professional Corporation | Internal Medicine | 1127 Wilshire Blvd, Suite 708, Los Angeles, CA 90017-3901 | 2016-10-18 |
| 1558810754 | Elan Allison | Orthotist | 1127 Wilshire Blvd, 310, Los Angeles, CA 90017-3901 | 2016-09-28 |
| 1811355134 | Natasha Pejman-gonzalez | Student in an Organized Health Care Education/Training Program | 1127 Wilshire Blvd, Suite 1504, Los Angeles, CA 90017-3901 | 2016-02-01 |
| 1790158921 | Los Angeles Kidney Center A Professional Corporation | Internal Medicine | 1127 Wilshire Blvd, Suite 510, Los Angeles, CA 90017-3901 | 2015-11-10 |
| 1295110294 | Carlos S Martinez Md Inc | Internal Medicine | 1127 Wilshire Blvd, Ste 1100, Los Angeles, CA 90017-3901 | 2015-07-21 |
| 1114308905 | Connect Hearing, Inc. | Audiologist | 1127 Wilshire Blvd, Ste 1202, Los Angeles, CA 90017-4003 | 2015-06-17 |
| 1699173922 | Jah Hand Surgery | Orthopaedic Surgery | 1127 Wilshire Blvd, Suite 510, Los Angeles, CA 90017-3901 | 2014-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833617 | Guadalupe Vallejo | Licensed Vocational Nurse | 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 | 2020-08-25 |
| 1376181768 | Nirlok Corporation | Optometrist | 750 West 7th Street, Los Angeles, CA 90017 | 2019-12-16 |
| 1689228223 | Marycarmen Beltran | Student in an Organized Health Care Education/Training Program | 333 S. Beaudry Ave., Los Angeles, CA 90017 | 2019-08-01 |
| 1639661465 | Robin B Horowitz | Counselor | 333 South Beaudry Avenue, Los Angeles, CA 90017 | 2018-06-06 |
| 1710483797 | Rose Jadidian | Pharmacist | 701 S. Flower, Ste. 3150, Los Angeles, CA 90017 | 2018-03-30 |
| 1417469875 | Marykarla Gallegos | Case Manager/Care Coordinator | 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 | 2017-10-25 |
| 1134646516 | Maria Salas | Rehabilitation Practitioner | 333 S Beaudry Ave., Los Angeles, CA 90017 | 2017-08-25 |
| 1932638202 | Butterfli Technologies Inc | Transportation Broker | 865 S Figueroa St Ste 2750, Los Angeles, CA 90017 | 2017-06-08 |
| 1316493125 | Phamily Love Foundation | Community/Behavioral Health | 626 Wilshire Blvd ., Suite 910, Los Angeles, CA 90017 | 2016-08-31 |
| 1215392188 | Jessica R. Garcia-hillard | Specialist/Technologist | 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 | 2015-12-21 |
| Find all providers in zip 90017 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407473754 | Janet K. Kim Md, Inc | Ophthalmology | 903 Crenshaw Blvd Ste 105, Los Angeles, CA 90019-1972 | 2020-07-02 |
| 1770048266 | Luxi Optometry, Inc | Ophthalmology | 3250 W. Olympic Blvd #221, Los Angeles, CA 90006 | 2019-02-08 |
| 1598238784 | Stanley S Kim Md, Inc | Ophthalmology | 3663 W 6th St Ste 200, Los Angeles, CA 90020-3048 | 2019-01-10 |
| 1811462542 | Eyecare Specialists Medical Group, Inc | Ophthalmology | 5120 W Goldleaf Cir Ste 20, Los Angeles, CA 90056-1292 | 2018-10-09 |
| 1386132744 | Masket Foundation Clinic for Eye Care | Ophthalmology | 2080 Century Park E Ste 911, Los Angeles, CA 90067-2012 | 2018-05-01 |
| 1922501154 | Maloney-shamie Vision Institute | Ophthalmology | 10921 Wilshire Blvd Ste 900, Los Angeles, CA 90024-4003 | 2018-03-14 |
| 1417484213 | Julie You Kwon Md Inc | Ophthalmology | 932 S Cloverdale Ave, Los Angeles, CA 90036-4817 | 2017-05-11 |
| 1932581642 | Eric Shieh | Ophthalmology | 100 Stein Plz Rm 2-132, Los Angeles, CA 90095-7065 | 2015-06-18 |
| 1275950115 | Daniel Lemor | Ophthalmology | 4036 Whittier Blvd Ste 202, Los Angeles, CA 90023 | 2014-03-27 |
| 1659705705 | Martin James Brickman | Ophthalmology | 2531 Mount Beacon Ter, Los Angeles, CA 90068-2444 | 2013-08-26 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90017 |
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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.