Organization
LIU PLASTIC SURGERY, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME H. LIU M.D. (DIRECTOR)
(408) 418-0808
Entity
Organization
Contact information
Practice address
15055 LOS GATOS BLVD STE 250, LOS GATOS, CA 95032-2025
(408) 418-0808
(408) 520-4960
Mailing address
15055 LOS GATOS BLVD #250, LOS GATOS, CA 95032
(408) 418-0808
(408) 520-4960
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
—
—
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
—
—
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
—
—
2086S0105X
Surgery of the Hand (Surgery) Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
04/15/2010
Last updated
10/23/2018
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