Individual
GRACE LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4053 LONE TREE WAY, ANTIOCH, CA 94531-6210
(925) 776-7725
(510) 506-7728
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(925) 776-7725
(510) 506-7728
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A161216
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A161216
STATE MEDICAL LICENSE
CA
Enumeration date
03/22/2016
Last updated
10/25/2022
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