Individual
JESICA FERNANDA LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7910 FROST ST STE 230, SAN DIEGO, CA 92123-2776
(858) 246-0053
(858) 496-9257
Mailing address
9500 GILMAN DR # MC0832, LA JOLLA, CA 92093-0927
(858) 246-0794
(858) 246-0019
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
A166312
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2017
Last updated
08/06/2024
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