Sandy Liu
Physician Assistant in Anaheim, CA. Individual provider (NPI-1).
NPI number1376947762
StatusActive
Last updated in NPPESOct 14, 2014
Details
- NPI
- 1376947762
- Entity type
- Individual (NPI-1)
- Name
- Sandy Liu
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 14, 2014
- Last updated
- Oct 14, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 52003 | CA | Yes |
Practice location
1311 S Anaheim BlvdAnaheim, CA 92805-6202
Phone 714-758-2858
Mailing address
1311 S Anaheim BlvdAnaheim, CA 92805-6202
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