Organization
ANNETTE LIU, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE LIU M.D. (PRESIDENT)
(310) 233-3209
Entity
Organization
Contact information
Practice address
824 E CARSON ST, SUITE 202, CARSON, CA 90745-2262
(310) 233-3209
(310) 233-3211
Mailing address
824 E CARSON ST, SUITE 202, CARSON, CA 90745-2262
(310) 233-3209
(310) 233-3211
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A56497
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A56497
MEDICAL LICENSE
CA
Enumeration date
06/10/2006
Last updated
08/22/2020
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