Healthcare Provider Details

I. General information

NPI: 1669811055
Provider Name (Legal Business Name): BARBARA EVA LIU D.O
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2013
Last Update Date: 08/09/2024
Certification Date: 08/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 LENNON LN
WALNUT CREEK CA
94598-2419
US

IV. Provider business mailing address

3801 HOWE ST
OAKLAND CA
94611-5312
US

V. Phone/Fax

Practice location:
  • Phone: 925-906-2000
  • Fax:
Mailing address:
  • Phone: 510-752-1190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberR2271
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20A14674
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: