Look up the most recent NPI and PECOS records

Fred Liu

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

1188 N Euclid St, Anaheim, CA 92801-1900

PECOS Enrollment

Based on the most recent information from CMS, provider Fred Liu is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1396277364
Provider Type
Individual
Full Name
Liu, Fred
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
3/29/2017
Last Updated
1/13/2023

Contact Information

Practice Location

1188 N Euclid St, Anaheim, CA 92801-1900

(833) 574-2273

Unlisted Fax

Mailing Location

1188 N Euclid St, Anaheim, CA 92801-1900

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License A158767 California

Fred Liu

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Gogna, Karun

Tran, Sinh

Renewed Community Mental Health

Ravi, Dave

Chargualaf, Jullyn Cabrera

Lee, Jae

Inland Psychiatric Medical Group, Inc

Chin, Kathleen Alison

Stratton, Tyler E

Conscious Health Care