Healthcare Provider Details

I. General information

NPI: 1710309851
Provider Name (Legal Business Name): LIEN HUA-FENG RN, MSN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2014
Last Update Date: 01/24/2025
Certification Date: 01/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MEDICAL PLAZA SUITE 700
LOS ANGELES CA
90095-0001
US

IV. Provider business mailing address

100 MEDICAL PLAZA SUITE 700
LOS ANGELES CA
90095-0001
US

V. Phone/Fax

Practice location:
  • Phone: 310-267-4612
  • Fax: 424-320-9724
Mailing address:
  • Phone: 310-267-4612
  • Fax: 424-320-9724

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number717840
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number23742
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: