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Individual

DR. MARK YEEJEN LIU

Active
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Individual

DR. MARK YEEJEN LIU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A22527
CA
207Q00000X
Family Medicine Physician
DOS-1207
HI
207Q00000X
Family Medicine Physician
OP1714
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000284265
HMSA BILLING NUMBER
HI
01
—
208083
LABOR & INDUSTRIES
WA
01
—
20A22527
MEDICAL BOARD
CA
01
—
22527
MEDICAL BOARD
CA
01
—
5389LI
REGENCE BLUE SHIELD
WA
05
—
632712-01
—
HI
01
—
7710782
AETNA
—
05
—
8449845
—
WA
01
—
OP1714
STATE MEDICAL LICENSE
WA
01
—
P00338717
RAILROAD MEDICARE
—
Enumeration date
01/23/2006
Last updated
04/16/2025
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