Kelly Lien, DDS - Medicare Dentist in Los Angeles, CA

Kelly Lien, DDS is a medicare enrolled "Dentist - General Practice" provider in Los Angeles, California. Her current practice location is 767 N Hill St Ste 200, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (213) 808-1792.

Kelly Lien is licensed to practice in California (license number 102219) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043690696.

Contact Information

Kelly Lien, DDS
767 N Hill St Ste 200,
Los Angeles, CA 90012-2365
(213) 808-1792
Not Available



Healthcare Provider's Profile

Full NameKelly Lien
GenderFemale
SpecialityDentist - General Practice
Location767 N Hill St Ste 200, Los Angeles, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043690696
  • Provider Enumeration Date: 06/08/2015
  • Last Update Date: 03/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4789953191
  • Enrollment ID: I20170628001326

Medical Identifiers

Medical identifiers for Kelly Lien such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043690696NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 102219 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Lien is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Lien, DDS
222 S Figueroa St Apt 619,
Los Angeles, CA 90012-2514

Ph: (732) 593-9066
Kelly Lien, DDS
767 N Hill St Ste 200,
Los Angeles, CA 90012-2365

Ph: (213) 808-1792

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