Individual
ELISE LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RDN
Contact information
Practice address
11070 STRATHMORE DR APT 1, LOS ANGELES, CA 90024-2341
(415) 887-8972
Mailing address
11070 STRATHMORE DR APT 1, LOS ANGELES, CA 90024-2341
(415) 887-8972
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86056939
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86056939
COMMISSION ON DIETETIC REGISTRATION
CA
Enumeration date
08/19/2018
Last updated
08/19/2018
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