Individual
MS. AMANDA LIEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MSPAS
Contact information
Practice address
370 DISTEL CIR, LOS ALTOS, CA 94022-1404
(650) 254-5200
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(650) 254-5200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61889
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1157140
NCCPA
NY
Enumeration date
10/09/2018
Last updated
04/05/2023
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