MEDICARE: ANGELA LIU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	283Q00000X	Psychiatric Hospital	PSY20303	CA
2	103T00000X	Psychologist

General Provider Information

NPI Number	:	1336284553
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGELA LIU

Provider Business Mailing Address
First Line	:	200 E DEL MAR BLVD STE 208
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91105-2552
Country	:	US
Telephone Number	:	626-200-8986
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 E DEL MAR BLVD STE 208
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91105-2552
Country	:	US
Telephone Number	:	626-200-8986
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL PSYCHOLOGIST
Name	:	DR. ANGELA LIU
Credential	:	PSY.D.
Telephone Number	:	626-200-8986

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	07/18/2007

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Directions to “ANGELA LIU ” Practice Location

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