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Contact Information

OTTO LIAO, MD
1076 E 1ST ST STE B
TUSTIN, CA92780-3852
 Phone: 714-838-2617
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
 

Allergy & Immunology

207RA0201X 11 Physician/Internal Medicine
 

Pediatric Allergy/Immunology

2080P0201X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for OTTO LIAO · (Male)

NPI Number 1225042674
Status Active
Credentials MD
Entity Individual
Enumeration date 07/28/2006
Last updated 10/06/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A068959
  • CA Other 11465065 CAQH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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