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NPI Code Detail

MEDICARE: DR. DAVID TA-CHIEN LIU MD PHD

MEDICARE:  DR. DAVID TA-CHIEN LIU  MD PHD
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
1207LC0200XCritical Care Medicine (Anesthesiology) Physician220487MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1J29143OTHERMABCBS MA
2478727OTHERMATUFTS HEALTH PLAN

General Provider Information

NPI Number : 1427049782
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID TA-CHIEN LIU MD PHD
Provider Business Mailing Address
First Line : 4825 GREEN CREST DR
Second Line :
City : YORBA LINDA
State : CA
Zip : 92887-1603
Country : US
Telephone Number : 714-692-1448
Fax Number :
Provider Business Practice Location Address
First Line : 9400 ROSECRANS AVE
Second Line :
City : BELLFLOWER
State : CA
Zip : 90706-2246
Country : US
Telephone Number : 562-461-4272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2005
Last Update Date : 11/22/2021

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