Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | A102490 | CA |
NPI | 1033301247 |
---|---|
Provider Name | Betty Denh Liu |
First Address | Long Beach, CA 90806-2325 |
Second Address | Long Beach, CA 90806-2325 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2007 |
Last Update Date | 27/10/2016 |