Liao, Otto

Liao, Otto is an individual health care provider with primary practice located at 1076 E 1St St Ste B , Tustin CA 92780-3852. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Liao, Otto can be contacted via phone (714) 838-2617.

Contact Information

Primary practice address
1076 E 1St St Ste B Tustin CA 92780-3852
Phone: (714) 838-2617
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207RA0201X A068959 California
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X A068959 California
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X A068959 California

Profile Details

NPI number 1225042674
LBN Legal business name Liao, Otto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Oct 6th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225042674 NPPES
California Other 11465065 CAQH

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