Organization
TLC ALLERGY AND ASTHMA ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OTTO LIAO M.D. (CEO)
(714) 838-2617
Entity
Organization
Contact information
Practice address
1076 E 1ST ST STE B, TUSTIN, CA 92780-3852
(714) 838-2617
Mailing address
1076 E 1ST ST STE B, TUSTIN, CA 92780-3852
(714) 838-2617
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A068959
CA
Other
Enumeration date
07/28/2006
Last updated
10/06/2020
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