Healthcare Provider Details

I. General information

NPI: 1821882044
Provider Name (Legal Business Name): LIU ZHU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2025
Last Update Date: 04/04/2025
Certification Date: 04/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

728 PACIFIC AVE STE 200
SAN FRANCISCO CA
94133-4449
US

IV. Provider business mailing address

1819 26TH AVE
SAN FRANCISCO CA
94122-4317
US

V. Phone/Fax

Practice location:
  • Phone: 415-391-9686
  • Fax:
Mailing address:
  • Phone: 415-321-0904
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95384113
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: