Individual
PETER LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15107 VANOWEN ST, VAN NUYS, CA 91405-4542
(818) 902-5771
Mailing address
15354 ARCHWOOD ST, VAN NUYS, CA 91406-6302
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
A45712
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A457120
—
CA
Enumeration date
06/30/2006
Last updated
07/08/2007
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