Organization Active NPI

Dr Annie Liu Corp

  • Dermatology Physician
  • Laguna Beach, CA
National Provider Identifier
1144043647
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DR ANNIE LIU CORP
Doing business as
DermCafe
Practice address
1968 S Coast Hwy # 1637
Laguna Beach, CA 92651-3681
Phone
(626) 466-2541
NPI assigned
Nov 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Annie LiuNPI 1982319380
Title
Dermatologist
Phone
(714) 202-7128

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

1968 S Coast Hwy # 1637
Laguna Beach, CA 92651-3681

Mailing address

1968 S Coast Hwy # 1637
Laguna Beach, CA 92651-3681
Phone (714) 202-7128

Other names 1

  • DermCafe Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250907000025 CA Part B Supplier - Clinic/Group Practice 6204338411 Receives reassigned benefits from 1 practitioner
Practice locations: Laguna Beach, CA

National Provider Directory

National Provider Directory

Locations

205 E Benson Blvd
Ste 534
Anchorage, AK 99503

1910 W Sunset Blvd
Ste 800
Los Angeles, CA 90026
Phone (323) 301-3962

926 Diablo Ave
Ste A
Novato, CA 94947

99 Wall St
#452
New York, NY 10005

99 Wall St
Ste 452
New York, NY 10005

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1144043647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1968 S COAST HWY # 1637",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926513681",
            "telephone_number": "714-202-7128",
            "fax_number": "888-275-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1968 S COAST HWY # 1637",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926513681",
            "telephone_number": "626-466-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ANNIE LIU CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "DERMATOLOGIST",
        "authorized_official_telephone_number": "714-202-7128"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DermCafe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laguna Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.