Provider Demographics
NPI:1861492860
Name:LIU, NORMAN HONTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:HONTIN
Last Name:LIU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:12665 GARDEN GROVE BLVD
Mailing Address - Street 2:SUITE 401
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92843-1901
Mailing Address - Country:US
Mailing Address - Phone:714-534-8373
Mailing Address - Fax:714-534-8759
Practice Address - Street 1:12665 GARDEN GROVE BLVD
Practice Address - Street 2:SUITE 401
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843-1901
Practice Address - Country:US
Practice Address - Phone:714-534-8373
Practice Address - Fax:714-534-8759
Is Sole Proprietor?:No
Enumeration Date:2005-08-01
Last Update Date:2013-06-11
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Provider Licenses
StateLicense IDTaxonomies
CAA63593207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A635930Medicaid
CAH17975Medicare UPIN
CA00A635930Medicaid