| Anita Y Liu Md Inc | |
|
4950 Barranca Pkwy Suite 208 Irvine CA 92604-4671 | |
| (949) 551-2828 | |
| (949) 551-2829 |
| Full Name | Anita Y Liu Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 4950 Barranca Pkwy, Irvine, California |
| Authorized Official Name and Position | Anita Liu (PRESIDENT) |
| Authorized Official Contact | 9495512828 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anita Y Liu Md Inc Po Box 11087 Newport Beach CA 92658-5018 Ph: (949) 551-2828 | Anita Y Liu Md Inc 4950 Barranca Pkwy Suite 208 Irvine CA 92604-4671 Ph: (949) 551-2828 |
| NPI Number | 1588848279 |
|---|---|
| Provider Enumeration Date | 12/18/2007 |
| Last Update Date | 10/09/2023 |
| Medicare PECOS PAC ID | 0547276578 |
|---|---|
| Medicare Enrollment ID | O20060301000265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588848279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A61125 (California) | Primary |
| Provider Name | Anita Y Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992721831 PECOS PAC ID: 5991711822 Enrollment ID: I20060306000265 |
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