Provider Demographics
NPI:1689123879
Name:GHIAM, LIAM (MD, MS)
Entity type:Individual
Prefix:DR
First Name:LIAM
Middle Name:
Last Name:GHIAM
Suffix:
Gender:M
Credentials:MD, MS
Other - Prefix:DR
Other - First Name:ALIREZA
Other - Middle Name:
Other - Last Name:GHIAM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, MS
Mailing Address - Street 1:3951 KATELLA AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-3303
Mailing Address - Country:US
Mailing Address - Phone:562-799-3198
Mailing Address - Fax:562-799-3509
Practice Address - Street 1:3951 KATELLA AVE STE 102
Practice Address - Street 2:
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-3303
Practice Address - Country:US
Practice Address - Phone:562-799-3198
Practice Address - Fax:562-799-3509
Is Sole Proprietor?:No
Enumeration Date:2016-09-28
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1657392085R0001X
PAMD4588522085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology