Healthcare Provider Details

I. General information

NPI: 1689740169
Provider Name (Legal Business Name): YU CHUAN EUGENE LIU MD INC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 02/23/2022
Certification Date: 02/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 CONSTITUTION BLVD BLDG 500
SALINAS CA
93906-3100
US

IV. Provider business mailing address

PO BOX 1885
CARMEL CA
93921-1885
US

V. Phone/Fax

Practice location:
  • Phone: 831-796-1630
  • Fax: 831-796-1616
Mailing address:
  • Phone: 650-307-3991
  • Fax: 831-372-1666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberA64763
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number622505
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: