Dr. Otto Liao
Allergist & Immunologist Internist - Allergy & Immunology Pediatric Allergist
1076 E 1st St Ste B
Tustin
, California 92780-3852
Dr. Otto Liao
Allergist & Immunologist Internist - Allergy & Immunology Pediatric Allergist
1076 E 1st St Ste B
Tustin
, California 92780-3852
(714) 838-2617
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About
Features
Specialties
- Allergist & Immunologist
- Internist - Allergy & Immunology
- Pediatric Allergist
Languages spoken
- English
Location
First Address
- Dr. Otto Liao
- 1076 E 1st St Ste B
- Tustin, CA
- Zip : 92780-3852
- Phone : (714) 838-2617
Second Address
- Dr. Otto Liao
- 1076 E 1st St Ste B
- Tustin, CA
- Zip : 92780-3852
- Phone : (714) 838-2617
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | A068959 | CA |
| N | 207RA0201X | Internist - Allergy & Immunology | A068959 | CA |
| N | 2080P0201X | Pediatric Allergist | A068959 | CA |
National Provider Identifier
| NPI | 1225042674 |
|---|---|
| Provider Name | Dr. Otto Liao |
| First Address | Tustin, CA 92780-3852 |
| Second Address | Tustin, CA 92780-3852 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/07/2006 |
| Last Update Date | 06/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 11465065 | CAQH (01) | CA |
| H12050 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.