Provider Demographics
NPI:1922201318
Name:LIU, TZU-SHANG THOMAS (MD PHD)
Entity type:Individual
Prefix:DR
First Name:TZU-SHANG
Middle Name:THOMAS
Last Name:LIU
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:DR
Other - First Name:THOMAS
Other - Middle Name:
Other - Last Name:LIU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD PHD
Mailing Address - Street 1:12277 APPLE VALLEY RD
Mailing Address - Street 2:#288
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92308-1701
Mailing Address - Country:US
Mailing Address - Phone:760-956-5200
Mailing Address - Fax:760-669-0793
Practice Address - Street 1:16008 KAMANA RD
Practice Address - Street 2:SUITE 100
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-1308
Practice Address - Country:US
Practice Address - Phone:760-956-5200
Practice Address - Fax:760-669-0793
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT181933207X00000X
CAA112382207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery