| Chia-lin Charles Liu,d.o.,inc | |
|
2185 Garnet Ave San Diego CA 92109-3603 | |
| (858) 270-9270 | |
| (858) 270-7168 |
| Full Name | Chia-lin Charles Liu,d.o.,inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2185 Garnet Ave, San Diego, California |
| Authorized Official Name and Position | Chia Lin Liu (DOCTOR) |
| Authorized Official Contact | 85892709270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chia-lin Charles Liu,d.o.,inc 2185 Garnet Ave San Diego CA 92109-3603 Ph: (858) 270-9270 | Chia-lin Charles Liu,d.o.,inc 2185 Garnet Ave San Diego CA 92109-3603 Ph: (858) 270-9270 |
| NPI Number | 1497003511 |
|---|---|
| Provider Enumeration Date | 08/21/2012 |
| Last Update Date | 09/06/2012 |
| Medicare PECOS PAC ID | 9931351517 |
|---|---|
| Medicare Enrollment ID | O20121205000335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497003511 | NPI | - | NPPES |
| 20A6900 | Other | CA | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Chia Lin Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720088552 PECOS PAC ID: 8325024045 Enrollment ID: I20040624001429 |
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