Individual
ANNA C LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
11100 WARNER AVE, SUITE 358, FOUNTAIN VALLEY, CA 92708-7506
(714) 966-1500
(714) 966-2300
Mailing address
11100 WARNER AVE, SUITE 358, FOUNTAIN VALLEY, CA 92708-7506
(714) 966-1500
(714) 966-2300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A10116
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130 60 80098
CORPORATE NPI #
CA
Enumeration date
09/19/2007
Last updated
07/05/2009
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