Provider Demographics
NPI:1992281851
Name:LIU, JONATHAN WING-CHIU (MD)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:WING-CHIU
Last Name:LIU
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:513 PARNASSUS AVE # 111
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-2205
Mailing Address - Country:US
Mailing Address - Phone:415-476-0735
Mailing Address - Fax:415-502-2605
Practice Address - Street 1:513 PARNASSUS AVE # 111
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2205
Practice Address - Country:US
Practice Address - Phone:415-476-0735
Practice Address - Fax:415-502-2605
Is Sole Proprietor?:No
Enumeration Date:2018-07-13
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA156974207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease