Individual
MR. ALEXANDER LIAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
862 MEINECKE AVE STE 200, SAN LUIS OBISPO, CA 93405-3704
(805) 250-1080
Mailing address
862 MEINECKE AVE STE 200, SAN LUIS OBISPO, CA 93405-3704
(805) 250-1080
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
66072
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
10/23/2023
Last updated
04/23/2025
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