Healthcare Provider Details

I. General information

NPI: 1801515119
Provider Name (Legal Business Name): ZIXUAN LIU DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: SHAWN LIU DDS, MSD

II. Dates (important events)

Enumeration Date: 08/22/2022
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18590 VAN BUREN BLVD STE 2B
RIVERSIDE CA
92508-4804
US

IV. Provider business mailing address

408 S BEACH BLVD STE 206A
ANAHEIM CA
92804-1881
US

V. Phone/Fax

Practice location:
  • Phone: 951-398-7900
  • Fax:
Mailing address:
  • Phone: 626-202-6554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number107850
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: