MEDICARE: DR. ANNIE LIU MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	183898	CA
2	207N00000X	Dermatology Physician	310069	CA

General Provider Information

NPI Number	:	1982319380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNIE LIU MD

Provider Business Mailing Address
First Line	:	1968 S COAST HWY # 1637
Second Line	:
City	:	LAGUNA BEACH
State	:	CA
Zip	:	92651-3681
Country	:	US
Telephone Number	:	714-202-7128
Fax Number	:	888-275-4061

Provider Business Practice Location Address
First Line	:	1968 S COAST HWY # 1637
Second Line	:
City	:	LAGUNA BEACH
State	:	CA
Zip	:	92651-3681
Country	:	US
Telephone Number	:	714-202-7128
Fax Number	:	626-209-8436

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2023
Last Update Date	:	05/21/2026

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Directions to “ DR. ANNIE LIU MD” Practice Location

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