Healthcare Provider Details

I. General information

NPI: 1003254145
Provider Name (Legal Business Name): FRANK LIEN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2013
Last Update Date: 12/03/2022
Certification Date: 12/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1190 VETERANS BLVD
REDWOOD CITY CA
94063-2037
US

IV. Provider business mailing address

400 EL CAMINO REAL UNIT 222
BELMONT CA
94002-2172
US

V. Phone/Fax

Practice location:
  • Phone: 650-299-2234
  • Fax:
Mailing address:
  • Phone: 626-475-2771
  • Fax: 201-261-0505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20A15755
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: