Individual
BERT LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 CONGRESS STREET STE 155, PASADENA, CA 91105-1029
(626) 486-0181
(626) 486-0189
Mailing address
1200 N STATE ST, LOS ANGELES, CA 90033-1029
(323) 226-7556
(323) 226-2657
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A154347
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BL3232267556
—
CA
Enumeration date
03/25/2016
Last updated
10/17/2022
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