Provider Demographics
NPI:1548286453
Name:LIU, RICHARD MING-CHENG (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:MING-CHENG
Last Name:LIU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3907 WARING RD
Mailing Address - Street 2:STE 1
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-4454
Mailing Address - Country:US
Mailing Address - Phone:760-724-8749
Mailing Address - Fax:760-724-2604
Practice Address - Street 1:5565 GROSSMONT CENTER DR
Practice Address - Street 2:BLDG 3, SUITE 101
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942
Practice Address - Country:US
Practice Address - Phone:619-464-3353
Practice Address - Fax:619-464-6720
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2020-05-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY272111207Y00000X
FLME0081018207Y00000X
CAC134084207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
040016382OtherRAILROAD MEDICARE
7945196OtherAETNA
5986239003OtherCIGNA
51726OtherBCBS
51726OtherBCBS