Provider Demographics
NPI:1336446244
Name:LIU, QUIN (MD)
Entity Type:Individual
Prefix:DR
First Name:QUIN
Middle Name:
Last Name:LIU
Suffix:
Gender:M
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:4650 W SUNSET BLVD
Mailing Address - Street 2:MAILSTOP #78
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-6062
Mailing Address - Country:US
Mailing Address - Phone:323-361-5924
Mailing Address - Fax:323-361-3718
Practice Address - Street 1:4650 W SUNSET BLVD
Practice Address - Street 2:MAILSTOP #78
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-6062
Practice Address - Country:US
Practice Address - Phone:323-361-5924
Practice Address - Fax:323-361-3718
Is Sole Proprietor?:No
Enumeration Date:2011-02-12
Last Update Date:2011-02-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA94917208000000X, 2080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics