=====================================================
General NPI Number Information
=====================================================
NPI Number | 1295934792
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PAUL TC LIU MD, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/13/2007
-----------------------------------------------------
Last Update Date | 10/20/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1658 W VALLEY BLVD STE 120
-----------------------------------------------------
City | ALHAMBRA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91803-2370
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 626-282-0282
-----------------------------------------------------
Fax | 626-282-0939
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1658 W VALLEY BLVD STE 120
-----------------------------------------------------
City | ALHAMBRA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91803-2370
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 626-282-0282
-----------------------------------------------------
Fax | 626-282-0939
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DOCTOR
-----------------------------------------------------
Name | PAUL TC LIU
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 626-796-0821
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | G67740
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------