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NPI Code Detail

MEDICARE: BETTY LIU MD

MEDICARE: BETTY LIU MD
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
1208100000XPhysical Medicine & Rehabilitation PhysicianG197075CA

General Provider Information

NPI Number : 1184698102
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETTY LIU MD
Provider Business Mailing Address
First Line : 5885 BROCKTON AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92506-1863
Country : US
Telephone Number : 800-270-5016
Fax Number :
Provider Business Practice Location Address
First Line : 5885 BROCKTON AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92506-1863
Country : US
Telephone Number : 800-270-5016
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2006
Last Update Date : 07/28/2025

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