RANDY LIU


Address: 1049 Capen Ave, Walnut, CA 91789-3912
Phone: 6268993189

RANDY LIU (NPI# 1548895998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548895998
Entity Type Individual
Full Name RANDY LIU
Credential ABOC, NCLEC
Practice Address 1049 Capen Ave
Walnut
CA 91789-3912
Mailing Address 1317 S Diamond Bar Blvd
Diamond Bar
CA 91765-5679
Practice Telephone 6268993189
Enumeration Date 2020-03-05
Last Update Date 2020-03-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
41484 CA Eye and Vision Services Providers

Office Location

Street Address 1049 CAPEN AVE
City WALNUT
State CA
Zip Code 91789-3912

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1720575608 Sonam Patel Pharmacist 1533 Parker Canyon Road, Walnut, CA 91789 2018-04-17
1649799206 Jacquelyn Lising Dietitian, Registered 911 Summitview Ct, Walnut, CA 91789 2017-09-14
1497272389 Jennifer Diaz Behavior Technician 539 Castlehill Dr, Walnut, CA 91789 2017-08-23
1952759888 Laurentino Lozada De Guia Jr. Dentist 778 Nogales St., Suite G, Walnut, CA 91789 2016-06-01
1679970859 Grace Park Chiropractor 20627 Golden Springs Dr., 2-b, Diamond Bar, CA 91789 2014-12-03
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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

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1629603659 Linh Lai Technician/Technologist 1111 Story Rd Ste 1079, San Jose, CA 95122-2670 2020-03-10
1780214403 Gary Alan Bates Technician/Technologist 2540 Zanella Way Ste 10, Chico, CA 95928-7194 2020-01-22
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Competitor

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City WALNUT
Zip Code 91789

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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