Liu, Grace S

Liu, Grace S is an individual health care provider with primary practice located at 3991 Macarthur Blvd Suite 228, Newport Beach CA 92660-3058. She recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as her primary health care specialty. Liu, Grace S can be contacted via phone (949) 863-0988.

Contact Information

Primary practice address
3991 Macarthur Blvd Suite 228 Newport Beach CA 92660-3058
Phone: (949) 863-0988
Fax: (949) 863-0088
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X A061446 California

Profile Details

NPI number 1477564128
LBN Legal business name Liu, Grace S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Oct 12th, 2007 - about 17 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477564128 NPPES
California Other W16839 MEDICARE GROUP NUMBER

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