Physician Compare National (NPI:1780892117)

HEALTHCARE PROVIDER: HONGGUANG LIU M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1780892117
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4587858477
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120615000174
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LIU
	Individual professional last name
Provider First Name	HONGGUANG
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1994
	Individual professional's medical school graduation year
Primary Specialty	GASTROENTEROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1825 SONOMA ST
	Group Practice or individual's line 1 address
City	REDDING
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	960012519
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050764
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SHASTA REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050280
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MERCY MEDICAL CENTER REDDING
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y