Healthcare Provider Details

I. General information

NPI: 1164193686
Provider Name (Legal Business Name): YEN-HSIN LIU L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: STEPHANIE LIU L.AC.

II. Dates (important events)

Enumeration Date: 09/23/2021
Last Update Date: 09/23/2021
Certification Date: 09/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

612 W DUARTE RD
ARCADIA CA
91007-7602
US

IV. Provider business mailing address

2204 TORRANCE BLVD STE 101B
TORRANCE CA
90501-0501
US

V. Phone/Fax

Practice location:
  • Phone: 310-658-6656
  • Fax:
Mailing address:
  • Phone: 310-658-6656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number13659
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: