Organization
CARSON D LIU, MD, MEDCORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARSON LIU MD (OWNER/PROVIDER)
(310) 208-0474
Entity
Organization
Contact information
Practice address
10921 WILSHIRE BLVD STE 1111, LOS ANGELES, CA 90024-4005
(310) 208-0474
(310) 208-0374
Mailing address
PO BOX 51385, LOS ANGELES, CA 90051-5685
(310) 208-0474
(310) 208-0374
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G75372
CA
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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