Healthcare Provider Details

I. General information

NPI: 1831139997
Provider Name (Legal Business Name): JAMES C LIU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 11/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10300 S DE ANZA BLVD
CUPERTINO CA
95014-3030
US

IV. Provider business mailing address

10300 S DE ANZA BLVD
CUPERTINO CA
95014-3030
US

V. Phone/Fax

Practice location:
  • Phone: 408-253-3083
  • Fax: 408-253-2965
Mailing address:
  • Phone: 408-253-3083
  • Fax: 408-253-2965

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberA47984
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: