Healthcare Provider Details

I. General information

NPI: 1033749981
Provider Name (Legal Business Name): ANGELA ZHI-JIE LIU PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2020
Last Update Date: 01/20/2020
Certification Date: 01/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1724 NOGALES ST
ROWLAND HEIGHTS CA
91748-2943
US

IV. Provider business mailing address

2020 GENE CT
ROWLAND HEIGHTS CA
91748-3261
US

V. Phone/Fax

Practice location:
  • Phone: 626-810-8211
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number80957
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: