Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jungwoo James Lieu, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699330506

Jungwoo James Lieu, DO is a Physical Medicine and Rehabilitation in Montclair, California. Qualified in 2019, 7 years ago. Practices with California Sports and Spine Institute PC, a 2-clinician group, works from 2 locations and offers telehealth. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Montclair, CA

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 7031 Sw 62nd Ave, South Miami, FL 33143-4701 — (305) 284-7761

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 20A21260 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1699330506
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 6, 2019
Last updated in NPPESJuly 7, 2023
Certification dateJuly 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice California Sports And Spine Institute Pc — 2 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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