Individual provider · Type 1 NPI

Kevin Gentle Liu

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1164375945 Active

Practice location

1975 Zonal Ave
Los Angeles, CA 90089-5601

Call (323) 442-1100 Map

Mailing address

3330 E Foothill Blvd Unit 546
Pasadena, CA 91107-3963

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1164375945

Kevin Gentle Liu's National Provider Identifier is 1164375945, issued on Feb 19, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 19, 2026.