MEDICARE: DR. MING HWANG LIAW LAC. OMD

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	AC9025	CA

General Provider Information

NPI Number	:	1265556070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MING HWANG LIAW LAC. OMD

Provider Business Mailing Address
First Line	:	1706 WILLOW ST STE E
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95125-5216
Country	:	US
Telephone Number	:	408-370-9988
Fax Number	:	408-370-9988

Provider Business Practice Location Address
First Line	:	1706 WILLOW ST STE E
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95125-5216
Country	:	US
Telephone Number	:	408-370-9988
Fax Number	:	408-370-9988

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

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	02/03/2020

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