MEDICARE: WINSTON WEI LIEN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician	A95489	CA

General Provider Information

NPI Number	:	1255490991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WINSTON WEI LIEN MD

Provider Business Mailing Address
First Line	:	393 E WALNUT ST
Second Line	:	3RD FLOOR PHR SYSTEMS
City	:	PASADENA
State	:	CA
Zip	:	91188-0001
Country	:	US
Telephone Number	:	--
Fax Number	:	--

Provider Business Practice Location Address
First Line	:	4950 W SUNSET BLVD
Second Line	:	STATION 2B
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-5822
Country	:	US
Telephone Number	:	323-783-2841
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2006
Last Update Date	:	12/21/2021

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