Healthcare Provider Details

I. General information

NPI: 1922436567
Provider Name (Legal Business Name): KAHO LIU
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/16/2013
Last Update Date: 10/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1705 WALNUT ST
EL CERRITO CA
94530-1918
US

IV. Provider business mailing address

1705 WALNUT ST
EL CERRITO CA
94530-1918
US

V. Phone/Fax

Practice location:
  • Phone: 510-295-7818
  • Fax:
Mailing address:
  • Phone: 510-295-7818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: