Maria Marissa De Leon Liwag

MD | Pediatrics | Female

Maria Marissa De Leon Liwag, MD is a Modesto, California based Pediatric doctor with medical specialization in General Pediatrics. Maria Marissa De Leon Liwag is also known as Maria Marissa Anuddin De Leon-liwag. Current practice location of Maria Marissa De Leon Liwag is 4125 Bangs Ave, Modesto, California - 95356-8713. She can be contacted on phone at 209-551-3174 and fax number 209-557-1685. Maria Marissa De Leon Liwag is a sole proprietor of her business.
NPI number (Unique professional ID) for Maria Marissa De Leon Liwag is 1467500470 which was assigned by NPPES on 08 Jan, 2007 and it was last updated on 10 Jan, 2022. Maria Marissa De Leon Liwag license number is A89974 for Pediatrics (208000000X) in California.
Maria Marissa De Leon Liwag is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Maria Marissa De Leon Liwag basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Maria Marissa De Leon Liwag
Other Name :Maria Marissa Anuddin De Leon-liwag
Credential :MD
Gender :Female
Business Address:
Maria Marissa De Leon Liwag address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :4125 Bangs Ave
Modesto, CA, 95356-8713
United States
Phone Number :209-551-3174
Fax Number :209-557-1685
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1467500470
NPI Entity Type : Individual
First Enrolment Date : 08 Jan, 2007
Last Updated On : 10 Jan, 2022
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Maria Marissa De Leon Liwag are as mentioned. Primary taxonomy code for Maria Marissa De Leon Liwag, MD is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYesA89974CA
Legacy Identifiers:
Other legacy medical identifiers of Maria Marissa De Leon Liwag such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
00A899740MEDICAIDCA
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
Endpoint TypeEndpointAffiliationUseContentAddress
SOAP
(SOAP URL)
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq

Carequality
HIE
Health Information Exchange (HIE)
OTHER
Other
C-CDA
4601 DALE RD,
MODESTO, CA, 95356-9718
United States
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :4125 Bangs Ave
Modesto, CA, 95356-8713
United States
Phone Number :209-551-3174
Fax Number :209-557-1685
Business Location:
Patients can refer following map for directions to Maria Marissa De Leon Liwag practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.