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Search › California › 207K00000X

Otto Liao, M.D

NPI 1225042674 · on the registry since 2006

Practice

Address
1076 E 1st St Ste B
Tustin, CA 92780
Phone
(714) 838-2617
Organisation at this address
Thomas Boone
Marta Rudat Dds
Eastern Medical Group
Eastern Medical Group, Inc.
Dale Johnstone, D.D.S., Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
207K00000X
207K00000X
Also registered as
207RA0201X
2080P0201X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California