Healthcare Provider Details

I. General information

NPI: 1215126040
Provider Name (Legal Business Name): HELEN LINN LIU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2007
Last Update Date: 12/22/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

441 N LAKEVIEW AVE
ANAHEIM CA
92807-3028
US

IV. Provider business mailing address

1215 E SAN ANTONIO DR APT 105
LONG BEACH CA
90807-6832
US

V. Phone/Fax

Practice location:
  • Phone: 714-279-4000
  • Fax:
Mailing address:
  • Phone: 714-279-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA92579
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: