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Organization
PETER LIU, MD, INC
Active
Organization
PETER LIU, MD, INC
Active
Other names
Pediatric Intensivists and Hospitalists, A Medical Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER YUDT PING LIU M.D. (CEO)
(208) 676-9080
Entity
Organization
Contact information
Practice address
15107 VANOWEN ST, VAN NUYS, CA 91405-4542
(818) 902-2909
(818) 902-5713
Mailing address
PO BOX 2620, HAYDEN, ID 83835-2620
(208) 676-9080
(208) 676-9098
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A45712
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A457120
—
CA
Enumeration date
08/09/2006
Last updated
08/08/2008
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