Dale K Lieu (NPI# 1003964099, PAC ID# 8022189901) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1003964099 |
| PAC ID by PECOS | 8022189901 |
| Professional Enrollment ID | I20080619000797 |
| Full Name | Dale K Lieu |
| Organization Legal Name | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| Address |
4647 Zion Ave San Diego CA 92120-2507 |
| Phone Number | 6195285000 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | INFECTIOUS DISEASE |
| Group Practice PAC ID | 6002729175 |
| Number of Group Practice Members | 7666 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050515 | KAISER FOUNDATION HOSPITAL - ZION |
| Address | Phone | Organization |
|---|---|---|
| 4647 Zion Ave, San Diego, CA 92120-2507 | 6195285000 | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| Organization Legal Name | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| Physicians | 10172 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chengjie Zheng | Ophthalmology | Southern California Permanente Medical Group | 9449 Imperial Hwy, Downey, CA 90242-2814 |
| Dong Joo Kim | Dermatology | Southern California Permanente Medical Group | 3401 S Harbor Blvd, Santa Ana, CA 92704-7933 |
| Terese S Bergheim | Dermatology | Southern California Permanente Medical Group | 12100 Euclid St, Garden Grove, CA 92840-3304 |
| Nabeel Rashid Hameed | Family Medicine | Southern California Permanente Medical Group | 4949 Market St, Ventura, CA 93003-7851 |
| Linda Marie Silver | Clinical Social Worker | Southern California Permanente Medical Group | 2081 Palos Verdes N Dr, Lomita, CA 90717-3701 |
| Erik James Ryo Murata | Physical Therapy | Southern California Permanente Medical Group | 411 N Lakeview Ave, Anaheim, CA 92807-3028 |
| Natasha D Irving | Obstetrics/gynecology | Southern California Permanente Medical Group | 1200 Discovery Dr, Bakersfield, CA 93309-7032 |
| May Sanguanlosit | Optometry | Southern California Permanente Medical Group | 27201 Tourney Rd, Santa Clarita, CA 91355-1854 |
| Neepa Shah | Ophthalmology | Southern California Permanente Medical Group | 75036 Gerald Ford Dr, Palm Desert, CA 92211-2080 |
| Gabrielle E Brown | Dermatology | Southern California Permanente Medical Group | 18600 S Figueroa St, Gardena, CA 90248-4505 |
| Street Address |
4647 ZION AVE |
| City | SAN DIEGO |
| State | CA |
| Zip | 92120-2507 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ann Pena | Obstetrics/gynecology | Southern California Permanente Medical Group | 4647 Zion Ave, San Diego, CA 92120-2507 |
| Shweta Ramsahai | Internal Medicine | Southern California Permanente Medical Group | 4647 Zion Ave, San Diego, CA 92120-2507 |
| Matthew J Roosevelt | Internal Medicine | Southern California Permanente Medical Group | 4647 Zion Ave, San Diego, CA 92120-2507 |
| Brenda J Swiderski | Optometry | Southern California Permanente Medical Group | 4647 Zion Ave, San Diego, CA 92120-2507 |
| David M Levine | Internal Medicine | Southern California Permanente Medical Group | 4647 Zion Ave, San Diego, CA 92120-2507 |
| Rachel M Toman | Nurse Practitioner | Southern California Permanente Medical Group | 4647 Zion Ave, San Diego, CA 92120-2507 |
| Donald A Drew | Anesthesiology | Southern California Permanente Medical Group | 4647 Zion Ave, San Diego, CA 92120-2507 |
| Julie M Phillips | Internal Medicine | Southern California Permanente Medical Group | 4647 Zion Ave, San Diego, CA 92120-2507 |
| Erwin Guzman | Family Medicine | Southern California Permanente Medical Group | 4647 Zion Ave, San Diego, CA 92120-2507 |
| Andrelee G Taganas | Family Medicine | Southern California Permanente Medical Group | 4647 Zion Ave, San Diego, CA 92120-2507 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara J Perry | Clinical Social Worker | 615 E Lexington Ave, El Cajon, CA 92120-0000 | |
| Andrea B Dorris | Chiropractic | 10330 Friars Rd, San Diego, CA 92120-2300 | |
| Marc Lewis | Chiropractic | 6612 Mission Gorge Rd, Suite B, San Diego, CA 92120-2346 | |
| Neel Patel | Cardiovascular Disease (cardiology) | Southern California Permanente Medical Group | 4647 Zion Ave, San Diego, CA 92120-2507 |
| Ana P Geluso | Emergency Medicine | Southern California Permanente Medical Group | 4647 Zion Ave, San Diego, CA 92120-2507 |
| Steven F Goins | Certified Registered Nurse Anesthetist (crna) | Southern California Permanente Medical Group | 4647 Zion Ave, San Diego, CA 92120-2507 |
| Arash Y Kermanshahi | Orthopedic Surgery | Southern California Permanente Medical Group | 4647 Zion Ave, San Diego, CA 92120-2507 |
| Juan M Oliva | Internal Medicine | Southern California Permanente Medical Group | 4647 Zion Ave, San Diego, CA 92120-2507 |
| Scott E Greenway | General Surgery | Southern California Permanente Medical Group | 4647 Zion Ave, San Diego, CA 92120-2507 |
| Elizabeth A Owen | Emergency Medicine | Southern California Permanente Medical Group | 4647 Zion Ave, San Diego, CA 92120-2507 |
| Find all physicians in zip 92120 | |||
| City | SAN DIEGO |
| Zip Code | 92120 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SAN DIEGO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Dale K Lieu.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.