MEDICARE: DARRYL LIU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LCSW93319	CA

General Provider Information

NPI Number	:	1053966200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARRYL LIU

Provider Business Mailing Address
First Line	:	PO BOX 61207
Second Line	:
City	:	PALO ALTO
State	:	CA
Zip	:	94306-6207
Country	:	US
Telephone Number	:	408-409-6727
Fax Number	:

Provider Business Practice Location Address
First Line	:	824 MALONE RD
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95125-2639
Country	:	US
Telephone Number	:	408-409-6727
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2019
Last Update Date	:	10/24/2025

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Directions to “ DARRYL LIU ” Practice Location

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