Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | FL5409215 | CA |
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | A135189 | CA |
NPI | 1700102308 |
---|---|
Provider Name | Judy Liu |
First Address | Irvine, CA 92618-3734 |
Second Address | Irvine, CA 92618-3734 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2010 |
Last Update Date | 19/01/2022 |