Healthcare Provider Details

I. General information

NPI: 1922937564
Provider Name (Legal Business Name): GENE LIU MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2080 CENTURY PARK E STE 704
LOS ANGELES CA
90067-2010
US

IV. Provider business mailing address

1880 CENTURY PARK E STE 1600
LOS ANGELES CA
90067-1661
US

V. Phone/Fax

Practice location:
  • Phone: 310-595-5992
  • Fax: 310-423-1230
Mailing address:
  • Phone: 310-595-5992
  • Fax: 310-423-1230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GENE CHUNHAO LIU
Title or Position: PRESIDENT
Credential: MD
Phone: 310-595-5992