Individual ProviderYao LiuInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1250 16th St # C2304, Santa Monica, CA 90404-1249(310) 319-4698PECOS EnrollmentBased on the most recent information from CMS, provider Yao Liu is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1033613690Provider TypeIndividualFull NameLiu, YaoCredentialMDGenderMaleSole ProprietorNoEnumeration Date3/20/2018Last Updated9/9/2021Contact InformationPractice LocationPractice Address1250 16th St # C2304, Santa Monica, CA 90404-1249Phone(310) 319-4698FaxUnlisted FaxMailing LocationMailing Address5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA165331California