| Dennis S Liu Md Inc | |
|
624 W Duarte Rd Suite 105 Arcadia CA 91007-9256 | |
| (626) 446-4727 | |
| (626) 446-5663 |
| Full Name | Dennis S Liu Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 624 W Duarte Rd, Arcadia, California |
| Authorized Official Name and Position | Dennis S Liu (OWNER) |
| Authorized Official Contact | 6264465663 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis S Liu Md Inc 624 W Duarte Rd Suite 105 Arcadia CA 91007-9256 Ph: (626) 446-4727 | Dennis S Liu Md Inc 624 W Duarte Rd Suite 105 Arcadia CA 91007-9256 Ph: (626) 446-4727 |
| NPI Number | 1164518072 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 03/20/2015 |
| Medicare PECOS PAC ID | 5092785907 |
|---|---|
| Medicare Enrollment ID | O20040728001140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164518072 | NPI | - | NPPES |
| W17804 | Other | CA | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A72151 (California) | Primary |
| Provider Name | Dennis S Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629164520 PECOS PAC ID: 7517937428 Enrollment ID: I20040729000387 |
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