Healthcare Provider Details

I. General information

NPI: 1942846787
Provider Name (Legal Business Name): HELEN NING LIU NP-WHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. HELEN NING TRAN

II. Dates (important events)

Enumeration Date: 11/26/2019
Last Update Date: 11/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16300 SAND CANYON AVE
IRVINE CA
92618-3711
US

IV. Provider business mailing address

16300 SAND CANYON AVE
IRVINE CA
92618-3711
US

V. Phone/Fax

Practice location:
  • Phone: 949-825-6908
  • Fax: 949-825-6907
Mailing address:
  • Phone: 949-825-6908
  • Fax: 949-825-6907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number95013087
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: