Individual
LIZA JIA COE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4900 W SUNSET BLVD, UROLOGY DEPARTMENT 2ND FLOOR -STATION C, LOS ANGELES, CA 90027-5814
(323) 783-0487
Mailing address
4900 SUNSET BLVD, UROLOGY DEPARTMENT 2ND FLOOR -STATION C, LOS ANGELES, CA 90027
(323) 783-0487
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
20439
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
20439
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200354883
—
CA
Enumeration date
09/09/2011
Last updated
08/30/2023
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