Wieke H Liem, MD | |
17601 17th St # 10, Tustin, CA 92780-1949 | |
(714) 790-0005 | |
(714) 699-2444 |
Full Name | Wieke H Liem |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 35 Years |
Location | 17601 17th St # 10, Tustin, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164452546 | NPI | - | NPPES |
00G730871 | Medicaid | CA | |
G70387 | Other | CA | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | G70387 (California) | Primary |
Entity Name | J Robert West Md Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932154788 PECOS PAC ID: 8729990973 Enrollment ID: O20031105000239 |
Entity Name | Wieke H Liem Md Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073729257 PECOS PAC ID: 2769649680 Enrollment ID: O20120206000103 |
Mailing Address | Practice Location Address |
---|---|
Wieke H Liem, MD 17601 17th St # 110, Tustin, CA 92780-1949 Ph: (714) 790-0005 | Wieke H Liem, MD 17601 17th St # 10, Tustin, CA 92780-1949 Ph: (714) 790-0005 |
Dr. Anjali Butani, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2620 Walnut Ave Ste D, Tustin, CA 92780 Phone: 714-646-6444 | |
Dr. Divya Shokeen, M.D Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13420 Newport Ave Ste G, Tustin, CA 92780 Phone: 714-538-8556 Fax: 714-538-1082 | |
Dr. Christina Nicole Kraus, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1451 Irvine Blvd, Tustin, CA 92780 Phone: 714-838-8408 | |
Dr. Anh-dao Vu Le, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13420 Newport Ave Ste G, Tustin, CA 92780 Phone: 714-659-6504 Fax: 714-908-7596 | |
Dr. Patrick Kevin Lee, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13420 Newport Ave, Suite G, Tustin, CA 92780 Phone: 714-731-0061 Fax: 714-731-0164 | |
Dr. Vince Ferhad Afsahi, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2552 Walnut Ave, Suite 120, Tustin, CA 92780 Phone: 714-508-0754 Fax: 174-508-5754 |