Healthcare Provider Details

I. General information

NPI: 1952220253
Provider Name (Legal Business Name): DAWEI LYU
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22823 DRY CREEK RD
DIAMOND BAR CA
91765-1212
US

IV. Provider business mailing address

22823 DRY CREEK RD
DIAMOND BAR CA
91765-1212
US

V. Phone/Fax

Practice location:
  • Phone: 909-859-9779
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number20677
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: