Healthcare Provider Details

I. General information

NPI: 1881716587
Provider Name (Legal Business Name): YANG CHING LIU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11670 ATWOOD RD
AUBURN CA
95603-9522
US

IV. Provider business mailing address

3510 ARDEN CREEK RD
SACRAMENTO CA
95864-1514
US

V. Phone/Fax

Practice location:
  • Phone: 530-887-2810
  • Fax: 530-887-2849
Mailing address:
  • Phone: 916-488-8432
  • Fax: 916-488-8432

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC37844
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: