Individual
CHELSEA ELIZABETH LIU SUMULONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3338 17TH ST STE 100, SAN FRANCISCO, CA 94110-7213
(415) 390-0099
Mailing address
734 BOUNTY DR APT 3404, FOSTER CITY, CA 94404-2665
(808) 371-7766
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
59377
CA
Other
Enumeration date
04/16/2020
Last updated
08/14/2024
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