Healthcare Provider Details

I. General information

NPI: 1447847124
Provider Name (Legal Business Name): YUK YEUNG LIU
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ANDREW LIU

II. Dates (important events)

Enumeration Date: 12/29/2020
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 W LA VETA AVE STE 205
ORANGE CA
92868-3929
US

IV. Provider business mailing address

805 W LA VETA AVE STE 205
ORANGE CA
92868-3929
US

V. Phone/Fax

Practice location:
  • Phone: 657-339-2799
  • Fax:
Mailing address:
  • Phone: 657-339-2799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number148451
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: