Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | E4832 | CA |
NPI | 1033349113 |
---|---|
Provider Name | Yen-Po Liu |
First Address | Alhambra, CA 91803-3251 |
Second Address | Alhambra, CA 91803 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2009 |
Last Update Date | 21/03/2020 |