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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1477564128 | NPPES |
California | Other | W16839 | MEDICARE GROUP NUMBER |
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