Organization
DR. MICO LIU OPTOMETRY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICO LIU OD (OWNER)
(626) 589-8696
Entity
Organization
Contact information
Practice address
8500 WASHINGTON BLVD, PICO RIVERA, CA 90660-3788
(562) 801-9532
(562) 801-9586
Mailing address
287 AMBERWOOD DR, WALNUT, CA 91789-2470
(626) 589-8696
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12407T
CA
Other
Enumeration date
08/12/2008
Last updated
05/19/2015
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