Healthcare Provider Details

I. General information

NPI: 1598982522
Provider Name (Legal Business Name): YEN-FU JAMES LIU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 02/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3250 SEPULVEDA BLVD
TORRANCE CA
90505-2719
US

IV. Provider business mailing address

3250 SEPULVEDA BLVD
TORRANCE CA
90505-2719
US

V. Phone/Fax

Practice location:
  • Phone: 310-534-3231
  • Fax: 310-667-8779
Mailing address:
  • Phone: 310-534-3231
  • Fax: 310-667-8779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA97572
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: