Individual
KEVIN LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
(909) 263-0425
Mailing address
21155 CHIRPING SPARROW RD, DIAMOND BAR, CA 91765-3765
(909) 263-0425
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A157221
CA
390200000X
Student in an Organized Health Care Education/Training Program
E1338991
CA
Other
Enumeration date
03/17/2017
Last updated
06/02/2022
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