Healthcare Provider Details

I. General information

NPI: 1093718678
Provider Name (Legal Business Name): HSIN-PEI LIU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2005
Last Update Date: 05/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 E JULIAN ST
SAN JOSE CA
95112-4007
US

IV. Provider business mailing address

55 E JULIAN ST
SAN JOSE CA
95112-4007
US

V. Phone/Fax

Practice location:
  • Phone: 408-918-2600
  • Fax: 408-918-2690
Mailing address:
  • Phone: 408-918-2600
  • Fax: 408-918-2690

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA88658
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: