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NPI Code Detail

MEDICARE: ANNE LIAO MD

MEDICARE: ANNE LIAO MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2207V00000XObstetrics & Gynecology PhysicianA193649CA

General Provider Information

NPI Number : 1164099487
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE LIAO MD
Provider Business Mailing Address
First Line : 1720 E CESAR E CHAVEZ AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90033-2414
Country : US
Telephone Number : 323-260-5781
Fax Number :
Provider Business Practice Location Address
First Line : 253 S DIAMOND BAR BLVD
Second Line :
City : DIAMOND BAR
State : CA
Zip : 91765-1606
Country : US
Telephone Number : 909-860-1144
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2021
Last Update Date : 09/02/2025

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Directions to “ ANNE LIAO MD” Practice Location

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