=====================================================
General NPI Number Information
=====================================================
NPI Number | 1518309368
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MINGHSUN LIU, M.D., PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/22/2013
-----------------------------------------------------
Last Update Date | 12/16/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11103 VENICE BLVD
-----------------------------------------------------
City | LOS ANGELES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90034-6914
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-923-7440
-----------------------------------------------------
Fax | 954-923-1299
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 848373
-----------------------------------------------------
City | LOS ANGELES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90084-8373
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-923-7440
-----------------------------------------------------
Fax | 954-923-1299
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | AUTHORIZED OFFICIAL
-----------------------------------------------------
Name | MINGHSUN LIU
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 310-734-8526
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RI0200X
-----------------------------------------------------
Taxonomy Name | Infectious Disease Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------