Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | A126207 | CA |
NPI | 1023309499 |
---|---|
Provider Name | Wenjing Liu |
First Address | Newport Beach, CA 92660-7853 |
Second Address | Newport Beach, CA 92660-7853 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2011 |
Last Update Date | 28/01/2019 |