Healthcare Provider Details

I. General information

NPI: 1346961133
Provider Name (Legal Business Name): CHIA CHI LIU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2022
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1188 N EUCLID ST
ANAHEIM CA
92801-1900
US

IV. Provider business mailing address

1188 N EUCLID ST
ANAHEIM CA
92801-1900
US

V. Phone/Fax

Practice location:
  • Phone: 833-579-4848
  • Fax:
Mailing address:
  • Phone: 833-579-4848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number125806
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: