MEDICARE: DR. JAMES HOU LIU M.D.

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	207R00000X	Internal Medicine Physician	G64811	CA
2	207R00000X	Internal Medicine Physician	K0898	TX
3	207RC0000X	Cardiovascular Disease Physician	G64811	CA
4	207RC0000X	Cardiovascular Disease Physician	K0898	TX
5	207RC0001X	Clinical Cardiac Electrophysiology Physician	G64811	CA
6	207RC0001X	Clinical Cardiac Electrophysiology Physician	K0898	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	00G648111	OTHER	TRICARE
2	00G648111	OTHER	BLUE CROSS/BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518074731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES HOU LIU M.D.

Provider Business Mailing Address
First Line	:	18102 PIONEER BLVD STE 203
Second Line	:
City	:	ARTESIA
State	:	CA
Zip	:	90701-4406
Country	:	US
Telephone Number	:	562-653-9889
Fax Number	:	562-924-6189

Provider Business Practice Location Address
First Line	:	1730 S SAN GABRIEL BLVD # C
Second Line	:
City	:	SAN GABRIEL
State	:	CA
Zip	:	91776-3928
Country	:	US
Telephone Number	:	626-572-0889
Fax Number	:	626-280-2789

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

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	05/12/2009

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Directions to “ DR. JAMES HOU LIU M.D.” Practice Location

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