Dr Bo Liu, MD | |
8608 Utica Ave Ste 218, Rancho Cucamonga, CA 91730-4879 | |
(626) 569-0088 | |
(866) 443-7567 |
Full Name | Dr Bo Liu |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 8608 Utica Ave Ste 218, Rancho Cucamonga, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669605747 | NPI | - | NPPES |
P01545809 | Other | CA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | A109174 (California) | Secondary |
208D00000X | General Practice | A109174 (California) | Primary |
Entity Name | The Wound Care Doctors |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043977184 PECOS PAC ID: 3577954445 Enrollment ID: O20220104000142 |
Mailing Address | Practice Location Address |
---|---|
Dr Bo Liu, MD 8608 Utica Ave Ste 218, Rancho Cucamonga, CA 91730-4879 Ph: (626) 569-0088 | Dr Bo Liu, MD 8608 Utica Ave Ste 218, Rancho Cucamonga, CA 91730-4879 Ph: (626) 569-0088 |
Mr. Peter John Niciforos, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 9190 Haven Ave, Suite # 102, Rancho Cucamonga, CA 91730 Phone: 909-527-8110 Fax: 909-581-6738 | |
Dr. Genevieve B Buenaflor, D.O. General Practice Medicare: Accepting Medicare Assignments Practice Location: 9089 Baseline Rd, Suite 100, Rancho Cucamonga, CA 91730 Phone: 909-464-9675 | |
Nelly M Padfield, NP General Practice Medicare: Not Enrolled in Medicare Practice Location: 6270 Terracina Ave, Rancho Cucamonga, CA 91737 Phone: 760-508-6698 | |
Rolando G. Uykimpang, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 10399 Lemon Ave Ste 102b, Rancho Cucamonga, CA 91737 Phone: 909-481-1002 Fax: 909-481-1132 |