Individual
VIRGINIA Y LIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19842 LAKE CHABOT RD, CASTRO VALLEY, CA 94546-4002
(510) 750-1967
(844) 718-0067
Mailing address
19842 LAKE CHABOT RD, CASTRO VALLEY, CA 94546-4002
(510) 750-1967
(844) 718-0067
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A158873
CA
207XX0801X
Orthopaedic Trauma Physician
Primary
A158873
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2017
Last updated
05/07/2026
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