Individual
EDWIN KING LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501-4135
(951) 788-3000
Mailing address
6431 FANNIN STREET, SUITE MSB 5.196, HOUSTON, TX 77030
(713) 500-6223
(713) 500-6270
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OP61374543
WA
390200000X
Student in an Organized Health Care Education/Training Program
390200000X
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95500695D75264
—
CA
Enumeration date
03/18/2019
Last updated
05/31/2023
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