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Contact Information

ANNIE LIU, MD
800 FAIRMOUNT AVENUE
SUITE 425
PASADENA, CA91107
 Phone: 626-345-8540
 Fax:
 Website: https://dynastydermatology.com
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for ANNIE LIU · (Female)

NPI # 1982319380
Status Active
Credentials MD
Entity Individual
Enumeration date 01/19/2023
Last updated 05/21/2026 - About 2 weeks ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 183898
  • CA License # 310069
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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