Healthcare Provider Details

I. General information

NPI: 1740102425
Provider Name (Legal Business Name): YOLANDA YAO LIU RD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15725 WHITTIER BLVD STE 500
WHITTIER CA
90603-2350
US

IV. Provider business mailing address

15500 TUSTIN VILLAGE WAY APT 64
TUSTIN CA
92780-4282
US

V. Phone/Fax

Practice location:
  • Phone: 562-448-1350
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: