| Dr Annie Liu, MD | |
| 1968 S Coast Hwy # 1637, Laguna Beach, CA 92651-3681 | |
| (714) 202-7128 | |
| (626) 209-8436 | 
| Full Name | Dr Annie Liu | 
|---|---|
| Gender | Female | 
| Speciality | Dermatology | 
| Location | 1968 S Coast Hwy # 1637, Laguna Beach, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1982319380 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207N00000X | Dermatology | 310069 (California) | Secondary | 
| 207N00000X | Dermatology | 183898 (California) | Primary | 
| Entity Name | Huntington Dermatology Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1275664435 PECOS PAC ID: 6709821697 Enrollment ID: O20050621001323 | 
| Entity Name | Csi Medical Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1871909804 PECOS PAC ID: 5890916845 Enrollment ID: O20141016001930 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Annie Liu, MD 3360 E Foothill Blvd Apt 405, Pasadena, CA 91107-6063 Ph: () - | Dr Annie Liu, MD 1968 S Coast Hwy # 1637, Laguna Beach, CA 92651-3681 Ph: (714) 202-7128 | 
| Dr. Devon Malecki, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 266 Canyon Acres Dr, Laguna Beach, CA 92651 Phone: 949-310-1212 | |
| Dr. Danielle K Moul, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 303 Broadway St Ste 104 Pmb 135, Laguna Beach, CA 92651 Phone: 410-952-6996 | |
| Dr. Glenn I Goldberg, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 31852 Coast Hwy, Suite 300, Laguna Beach, CA 92651 Phone: 949-499-1389 Fax: 949-499-5689 | |
| William Pike, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2581 Iris Way, Laguna Beach, CA 92651 Phone: 949-494-0047 Fax: 949-494-0047 |