Healthcare Provider Details

I. General information

NPI: 1790178432
Provider Name (Legal Business Name): DENNIS LIU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2015
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 HOSPITAL PKWY
SAN JOSE CA
95119-1103
US

IV. Provider business mailing address

250 HOSPITAL PKWY EMERGENCY DEPARTMENT
SAN JOSE CA
95119-1103
US

V. Phone/Fax

Practice location:
  • Phone: 408-972-3000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA157498
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: