Wieke H Liem, M.D.,Inc.

LBN: Wieke H Liem, M.D.,Inc.
Wieke H Liem, M.D.,Inc. is an health care organization with primary practice located at 17601 17Th St Ste 110 , Tustin CA 92780-1949. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Wieke H Liem, M.D.,Inc. can be contacted via phone (714) 790-0005, or through Liem, Wieke H via phone (714) 538-8556.

Contact Information

Primary practice address
17601 17Th St Ste 110 Tustin CA 92780-1949
Phone: (714) 790-0005
Fax: (714) 538-1082
Website:
Map and Directions
Authorized official contact:
Name: Liem, Wieke H Doctor of Medicine (MD)
Phone: (714) 538-8556

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G70387 California

Profile Details

NPI number 1073729257
LBN Legal business name Wieke H Liem, M.D.,Inc.
DBA Doing business as
Authorized official Liem, Wieke H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2007
Last updated Aug 24th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073729257 NPPES
California Other G70387 MEDICAL LICENSE
California MEDICAID 00G703871 MEDICAL LICENSE

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