Active NPI
Annie Chiu MD, Inc
Doing business as The Derm Institute
- Dermatology Physician
- Redondo Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- ANNIE CHIU MD, INC
- Doing business as
- The Derm Institute
- Practice address
- 1636 Aviation Blvd
Suite 201
Redondo Beach, CA 90278-2851 - Phone
- (310) 939-9800
- Fax
- (310) 939-9888
- NPI assigned
- Nov 20, 2012
- Last updated
- Feb 10, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Annie Chiu, MD
- Title
- Owner
- Phone
- (310) 939-9800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
1636 Aviation Blvd
Suite 201
Redondo Beach, CA 90278-2851
Mailing address
1636 Aviation Blvd
Suite 201
Redondo Beach, CA 90278-2851
Phone (310) 939-9800
Other names 1
- The Derm Institute
National Provider Directory
National Provider DirectoryLocations
1636 Aviation Blvd
#201
Redondo Beach, CA 90278
Phone (310) 939-9800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatology Physician
- Redondo Beach, CA
- NPI 1689886129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612915200000",
"number": "1093059610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1636 AVIATION BLVD",
"address_2": "SUITE 201",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902782851",
"telephone_number": "310-939-9800",
"fax_number": "310-939-9888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1636 AVIATION BLVD",
"address_2": "SUITE 201",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902782851",
"telephone_number": "310-939-9800",
"fax_number": "310-939-9888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANNIE CHIU MD, INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-20",
"last_updated": "2021-02-10",
"certification_date": "2021-02-10",
"status": "A",
"authorized_official_last_name": "CHIU",
"authorized_official_first_name": "ANNIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-939-9800",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Derm Institute",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Derm Institute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.