Healthcare Provider Details

I. General information

NPI: 1245350206
Provider Name (Legal Business Name): YU PING LIU DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: DOUGLAS YU-PING LIU DDS

II. Dates (important events)

Enumeration Date: 03/30/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8247 WHITTIER BLVD
PICO RIVERA CA
90660-2527
US

IV. Provider business mailing address

3731 N CHARLOTTE AVE
SAN GABRIEL CA
91776-3951
US

V. Phone/Fax

Practice location:
  • Phone: 562-692-1600
  • Fax: 562-692-1614
Mailing address:
  • Phone: 626-628-6338
  • Fax: 562-692-1614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number39036
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: