Organization
NEWPORT COAST DERMATOLOGY
Active
Organization
NEWPORT COAST DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRACE LIU M.D. (DR.)
(949) 863-0988
Entity
Organization
Contact information
Practice address
3991 MACARTHUR BLVD, SUITE 228, NEWPORT BEACH, CA 92660-3058
(949) 863-0988
(949) 863-0088
Mailing address
3991 MACARTHUR BLVD, SUITE 228, NEWPORT BEACH, CA 92660-3058
(949) 863-0988
(949) 863-0088
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
A61446
CA
Other
Enumeration date
09/21/2007
Last updated
06/17/2008
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