Individual
DR. BO LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8608 UTICA AVE STE 218, RANCHO CUCAMONGA, CA 91730-4879
(626) 569-0088
(866) 443-7567
Mailing address
8608 UTICA AVE STE 218, RANCHO CUCAMONGA, CA 91730-4879
(626) 569-0088
(866) 443-7567
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A109174
CA
208D00000X
General Practice Physician
Primary
A109174
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01545809
RAILROAD MEDICARE
CA
Enumeration date
08/24/2009
Last updated
07/29/2016
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