Provider Demographics
NPI:1033648282
Name:LIU, STEVE LI MING (RDH)
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:LI MING
Last Name:LIU
Suffix:
Gender:M
Credentials:RDH
Other - Prefix:
Other - First Name:LI MING
Other - Middle Name:
Other - Last Name:LIU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9503 BEVERLY BLVD
Mailing Address - Street 2:
Mailing Address - City:PICO RIVERA
Mailing Address - State:CA
Mailing Address - Zip Code:90660-1808
Mailing Address - Country:US
Mailing Address - Phone:626-414-7733
Mailing Address - Fax:
Practice Address - Street 1:9503 BEVERLY BLVD
Practice Address - Street 2:
Practice Address - City:PICO RIVERA
Practice Address - State:CA
Practice Address - Zip Code:90660-1808
Practice Address - Country:US
Practice Address - Phone:626-414-7733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28481124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist