MEDICARE: DR. YEN-FU JAMES LIU M.D.

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	208000000X	Pediatrics Physician	A97572	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11697067	OTHER	CA	CAQH

General Provider Information

NPI Number	:	1598982522
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YEN-FU JAMES LIU M.D.

Provider Business Mailing Address
First Line	:	18407 TECATE ST
Second Line	:
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-6712
Country	:	US
Telephone Number	:	516-316-0343
Fax Number	:

Provider Business Practice Location Address
First Line	:	18407 TECATE ST
Second Line	:
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-6712
Country	:	US
Telephone Number	:	516-316-0343
Fax Number	:

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

Provider Enumeration Date	:	04/19/2007
Last Update Date	:	04/13/2026

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