Healthcare Provider Details

I. General information

NPI: 1033384748
Provider Name (Legal Business Name): MARGARET LIU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2008
Last Update Date: 01/22/2024
Certification Date: 01/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 VAN NESS AVE STE 310
SAN FRANCISCO CA
94102-3285
US

IV. Provider business mailing address

711 VAN NESS AVE STE 310
SAN FRANCISCO CA
94102-3285
US

V. Phone/Fax

Practice location:
  • Phone: 415-421-8667
  • Fax: 415-421-5648
Mailing address:
  • Phone: 415-421-8667
  • Fax: 415-421-5648

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberA119575
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: