Individual
KAZUKO LIAO SHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
751 S BASCOM AVE, PM&R DEPT, SAN JOSE, CA 95128-2604
(408) 885-2000
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-5000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A54607
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A546070
—
CA
Enumeration date
09/14/2006
Last updated
09/12/2007
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