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

Tommy Liung

Individual provider Physician Assistant · NPI 1104668292

Tommy Liung is a Physician Assistant in Los Angeles, California. Graduated from At Still Un of Hlth Sciences, Col of Osteo Med, Mesa in 2025, 1 year ago. Licensed in California.

Years since qualifying
1
Trained at
At Still Un of Hlth Sciences, Col of Osteo Med, Mesa
Licensed in
CA
In the registry since
2024

Practice location Address checks out

2409 S Vermont Ave
Los Angeles, CA 90007-1661
Phone: (323) 730-1663
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA67441 (CA)

Record details

NPI number1104668292
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 10, 2024
Last updated in NPPESJanuary 21, 2026
Certification dateJanuary 21, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolAT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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