Doctor Name: | MR. DAVID HENRY LIU |
NPI Number: | 1144647660 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 51475 |
Business Practice Address: | 26550 Ascension Dr Los Altos Hills, CA - 940222059 |
Business Phone Number: | 6502081576 |
Business Fax Number: | |
Mailing Address: | 26550 Ascension Dr, LOS ALTOS HILLS |
State: | CA |
Postal Code: | 940222059 |
Phone Number: | 6502081576 |
Fax Number: | |
NPI Enumeration Date: | 03/21/2014 |
NPI Last Update Date: | 03/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 51475 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |