Individual
DR. GRACE S LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
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
A061446
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W16839
MEDICARE GROUP NUMBER
CA
Enumeration date
08/10/2006
Last updated
10/12/2007
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