| Antonio Liu Md Apc | |
|
1415 Pasqualito Dr San Marino CA 91108-2338 | |
| (626) 684-2155 | |
| Not Available |
| Full Name | Antonio Liu Md Apc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1415 Pasqualito Dr, San Marino, California |
| Authorized Official Name and Position | Antonio Kay-wai Liu (PRESIDENT) |
| Authorized Official Contact | 6266842155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Antonio Liu Md Apc 1415 Pasqualito Dr San Marino CA 91108-2338 Ph: (626) 684-2155 | Antonio Liu Md Apc 1415 Pasqualito Dr San Marino CA 91108-2338 Ph: (626) 684-2155 |
| NPI Number | 1831905132 |
|---|---|
| Provider Enumeration Date | 12/10/2024 |
| Last Update Date | 12/10/2024 |
| Certification Date | 12/10/2024 |
| Medicare PECOS PAC ID | 4284161498 |
|---|---|
| Medicare Enrollment ID | O20241230003545 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831905132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Antonio Liu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518980663 PECOS PAC ID: 9436043163 Enrollment ID: I20040216001032 |
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