Provider Demographics
NPI:1568424919
Name:LIU, YONG QING (MD)
Entity Type:Individual
Prefix:DR
First Name:YONG
Middle Name:QING
Last Name:LIU
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:181 ANDRIEUX ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SONOMA
Mailing Address - State:CA
Mailing Address - Zip Code:95476-6932
Mailing Address - Country:US
Mailing Address - Phone:707-933-0500
Mailing Address - Fax:707-933-0505
Practice Address - Street 1:181 ANDRIEUX ST
Practice Address - Street 2:SUITE 202
Practice Address - City:SONOMA
Practice Address - State:CA
Practice Address - Zip Code:95476-6932
Practice Address - Country:US
Practice Address - Phone:707-933-0500
Practice Address - Fax:707-933-0505
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-03
Last Update Date:2023-08-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA72252207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH38798Medicare UPIN
CA00A722520Medicare ID - Type Unspecified