Healthcare Provider Details

I. General information

NPI: 1205287489
Provider Name (Legal Business Name): ISABEL LIU PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2016
Last Update Date: 06/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9256 SLAUSON AVE
PICO RIVERA CA
90660-4526
US

IV. Provider business mailing address

9256 SLAUSON AVE
PICO RIVERA CA
90660-4526
US

V. Phone/Fax

Practice location:
  • Phone: 562-949-5424
  • Fax: 562-949-7574
Mailing address:
  • Phone: 562-949-5424
  • Fax: 562-949-7574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number71088
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: