Healthcare Provider Details

I. General information

NPI: 1235360793
Provider Name (Legal Business Name): MR. HOWARD HEUNG WING LIU
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2009
Last Update Date: 12/22/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 PARKLIN AVE
SACRAMENTO CA
95831-1513
US

IV. Provider business mailing address

900 PARKLIN AVE
SACRAMENTO CA
95831-1513
US

V. Phone/Fax

Practice location:
  • Phone: 916-428-1000
  • Fax:
Mailing address:
  • Phone: 916-428-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: