Doctor Name: | YEN-PO LIU |
NPI Number: | 1033349113 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | E4832 |
Business Practice Address: | 27 W Main St Suite G Alhambra, CA - 918013500 |
Business Phone Number: | 6262894379 |
Business Fax Number: | |
Mailing Address: | 1710 S Los Robles Ave, SAN MARINO |
State: | CA |
Postal Code: | 911081623 |
Phone Number: | 6263768720 |
Fax Number: | |
NPI Enumeration Date: | 07/22/2009 |
NPI Last Update Date: | 07/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | E4832 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |