Healthcare Provider Details

I. General information

NPI: 1770651713
Provider Name (Legal Business Name): XIN-LING LIU L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2811 W OLIVE AVE
BURBANK CA
91505-4534
US

IV. Provider business mailing address

2811 W OLIVE AVE
BURBANK CA
91505-4534
US

V. Phone/Fax

Practice location:
  • Phone: 818-563-1990
  • Fax: 818-842-0473
Mailing address:
  • Phone: 818-563-1990
  • Fax: 818-842-0473

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC7147
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: