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NPI Code Detail

MEDICARE: REBECCA LIU CITRON MD

MEDICARE: REBECCA LIU CITRON 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
1207Q00000XFamily Medicine PhysicianA159401CA

General Provider Information

NPI Number : 1730613142
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA LIU CITRON MD
Provider Business Mailing Address
First Line : 150 HARBOUR WAY
Second Line :
City : RICHMOND
State : CA
Zip : 94801-3554
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 150 HARBOUR WAY
Second Line :
City : RICHMOND
State : CA
Zip : 94801-3554
Country : US
Telephone Number : 510-981-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2017
Last Update Date : 12/09/2022

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