Basic Information
| Provider Information | |||||||||
| NPI: | 1982668026 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LIU | ||||||||
| FirstName: | HOWARD | ||||||||
| MiddleName: | LEE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 118 S CLARK DR | ||||||||
| Address2: | UNIT 204 | ||||||||
| City: | WEST HOLLYWOOD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900483274 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3108882844 | ||||||||
| FaxNumber: | 3108887793 | ||||||||
| Practice Location | |||||||||
| Address1: | 200 N ROBERTSON BLVD | ||||||||
| Address2: | SUITE 202 | ||||||||
| City: | BEVERLY HILLS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 902111769 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3103853300 | ||||||||
| FaxNumber: | 3103853366 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/14/2006 | ||||||||
| LastUpdateDate: | 04/24/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207N00000X | A761770 | CA | Y | Allopathic & Osteopathic Physicians | Dermatology | 207ND0101X | A761770 | CA | N | Allopathic & Osteopathic Physicians | Dermatology | MOHS-Micrographic Surgery | 207ND0900X | A761770 | CA | N | Allopathic & Osteopathic Physicians | Dermatology | Dermatopathology | 207NI0002X | A761770 | CA | N | Allopathic & Osteopathic Physicians | Dermatology | Clinical & Laboratory Dermatological Immunology | 207NS0135X | A761770 | CA | N | Allopathic & Osteopathic Physicians | Dermatology | Procedural Dermatology |
No ID Information.