Provider Demographics
NPI:1285806091
Name:LIAUW, JASON A (MD)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:A
Last Name:LIAUW
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 2426
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92654-2426
Mailing Address - Country:US
Mailing Address - Phone:949-588-5800
Mailing Address - Fax:949-380-3345
Practice Address - Street 1:23961 CALLE DE LA MAGDALENA STE 405
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-3683
Practice Address - Country:US
Practice Address - Phone:949-588-5800
Practice Address - Fax:949-380-3345
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-01
Last Update Date:2019-09-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA137960207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty