Organization
CASEY FU M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASEY S FU-LIU MD (PRESIDENT)
(626) 581-8330
Entity
Organization
Contact information
Practice address
16404 COLIMA RD FL 1, HACIENDA HEIGHTS, CA 91745-5502
(626) 581-8330
(626) 581-8411
Mailing address
16404 COLIMA RD FL 1, HACIENDA HEIGHTS, CA 91745-5502
(626) 581-8330
(626) 581-8411
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G79788
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G797880
—
CA
05
—
00G797881
—
CA
01
—
DO7270
RAILROAD MEDICARE PTAN
CA
Enumeration date
10/12/2007
Last updated
09/24/2019
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