Liem, Wieke H
Liem, Wieke H is an individual health care provider with primary practice located at 17601 17Th St # 10 , Tustin CA 92780-1949. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Liem, Wieke H can be contacted via phone (714) 790-0005.Contact Information
Primary practice address
17601 17Th St # 10
Tustin CA 92780-1949
Phone: (714) 790-0005
Fax: (714) 699-2444
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | G70387 | California |
Profile Details
| NPI number | 1164452546 |
|---|---|
| LBN Legal business name | Liem, Wieke H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Sep 14th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164452546 | NPPES |
| California | MEDICAID | 00G730871 | |
| California | Other | G70387 |
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