BEVERLY GROVE DENTISTRY – NPI #1912487372
Clinic/Center

BEVERLY GROVE DENTISTRY is an AHC clinic located in LOS ANGELES, CA. NPPES has assigned the NPI number 1912487372 to BEVERLY GROVE DENTISTRY on August 15, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BEVERLY GROVE DENTISTRY” is a dba name, the actual legal business name for this organization is DONNA LIEU DDS INC.. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BEVERLY GROVE DENTISTRY below.

NPI Profile for
DONNA LIEU DDS INC.

NPI Number
1912487372
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DONNA LIEU DDS INC.
Doing Business As (dba): BEVERLY GROVE DENTISTRY
Primary location
6200 WILSHIRE BLVD STE 1109
LOS ANGELES, CA 90048-5812
Phone: (323) 933-9349 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DONNA LIEU
CEO
Phone: (323) 933-9349
Updated
Identifiers

Identifiers for BEVERLY GROVE DENTISTRY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNPI1225288525
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.