Provider Demographics
NPI:1891798971
Name:LIU, YAO (MD)
Entity Type:Individual
Prefix:
First Name:YAO
Middle Name:
Last Name:LIU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:YAO
Other - Last Name:LIU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 7479
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93292
Mailing Address - Country:US
Mailing Address - Phone:559-635-1118
Mailing Address - Fax:559-635-1119
Practice Address - Street 1:1837 W DOROTHEA AVE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-7363
Practice Address - Country:US
Practice Address - Phone:559-635-1118
Practice Address - Fax:559-472-3022
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA607242084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG80344Medicare UPIN