Provider Demographics
NPI:1477749232
Name:LIU, EDWARD Y (MD)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:Y
Last Name:LIU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:415 N CRESCENT DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4860
Mailing Address - Country:US
Mailing Address - Phone:310-855-0711
Mailing Address - Fax:310-652-2688
Practice Address - Street 1:415 N CRESCENT DR
Practice Address - Street 2:SUITE 100
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4860
Practice Address - Country:US
Practice Address - Phone:310-855-0711
Practice Address - Fax:310-652-2688
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-14
Last Update Date:2014-10-01
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Provider Licenses
StateLicense IDTaxonomies
CAG22954207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAEF060ZMedicare PIN