MEDICARE: DR. HONG LIU L. AC.,

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	171100000X	Acupuncturist	L. AC 4896	CA

General Provider Information

NPI Number	:	1003951898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HONG LIU L. AC.,

Provider Business Mailing Address
First Line	:	4906 EL CAMINO REAL
Second Line	:	SUITE 205
City	:	LOS ALTOS
State	:	CA
Zip	:	94022-1449
Country	:	US
Telephone Number	:	650-968-8899
Fax Number	:	650-968-0168

Provider Business Practice Location Address
First Line	:	4906 EL CAMINO REAL
Second Line	:	SUITE 205.
City	:	LOS ALTOS
State	:	CA
Zip	:	94022-1449
Country	:	US
Telephone Number	:	650-968-8899
Fax Number	:	650-968-0168

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

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	07/08/2007

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