Provider Demographics
NPI:1689740169
Name:LIU, YU CHUAN EUGENE (MD INC)
Entity Type:Individual
Prefix:
First Name:YU CHUAN
Middle Name:EUGENE
Last Name:LIU
Suffix:
Gender:M
Credentials:MD INC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1885
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:CA
Mailing Address - Zip Code:93921-1885
Mailing Address - Country:US
Mailing Address - Phone:650-307-3991
Mailing Address - Fax:831-372-1666
Practice Address - Street 1:1441 CONSTITUTION BLVD BLDG 500
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93906-3100
Practice Address - Country:US
Practice Address - Phone:831-796-1630
Practice Address - Fax:831-796-1616
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA64763207RC0001X
CA622505207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A647630Medicaid
G99648Medicare UPIN
CA00A647630Medicaid