Healthcare Provider Details

I. General information

NPI: 1922969955
Provider Name (Legal Business Name): ZHAOFEI LIU PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2025
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1798 N GAREY AVE CRITICAL CARE
POMONA CA
91767-2918
US

IV. Provider business mailing address

1798 N GAREY AVE CRITICAL CARE
POMONA CA
91767-2918
US

V. Phone/Fax

Practice location:
  • Phone: 909-865-9500
  • Fax:
Mailing address:
  • Phone: 909-865-9500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95035062
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: