Healthcare Provider Details

I. General information

NPI: 1760946040
Provider Name (Legal Business Name): HONG & LIU ACUPUNCTURE CHIROPRACTIC INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2019
Last Update Date: 01/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17595 ALMAHURST ST STE 100B
CITY OF INDUSTRY CA
91748-1779
US

IV. Provider business mailing address

17595 ALMAHURST ST STE 100B
CITY OF INDUSTRY CA
91748-1779
US

V. Phone/Fax

Practice location:
  • Phone: 562-881-4280
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: SUNG HEE HONG
Title or Position: CFO
Credential: DC, L.AC
Phone: 562-881-4280