Individual
CHIANGYUAN CHUCK LIAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D..
Contact information
Practice address
875 N BREA BLVD, BREA, CA 92821-2606
(714) 529-6842
(714) 256-1728
Mailing address
PO BOX 18704, IRVINE, CA 92623-8704
(909) 510-7678
(949) 333-2178
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A31031
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A310310
—
CA
Enumeration date
06/25/2006
Last updated
09/12/2012
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