Individual
CHERYL LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7774 CHERRY AVE STE A, FONTANA, CA 92336-4014
(213) 321-1645
Mailing address
7774 CHERRY AVE STE A, FONTANA, CA 92336-4014
(213) 321-1645
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
57206
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/06/2018
Last updated
07/07/2023
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