Healthcare Provider Details

I. General information

NPI: 1346772597
Provider Name (Legal Business Name): ANGELA HUI-CHIA LIU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2017
Last Update Date: 09/18/2024
Certification Date: 09/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1060 MARSH RD
MENLO PARK CA
94025-1964
US

IV. Provider business mailing address

1060 MARSH RD
MENLO PARK CA
94025-1964
US

V. Phone/Fax

Practice location:
  • Phone: 650-646-7500
  • Fax: 650-646-7501
Mailing address:
  • Phone: 650-646-7500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberA195618
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: