Healthcare Provider Details

I. General information

NPI: 1578736435
Provider Name (Legal Business Name): HARVEY W. LIU D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2008
Last Update Date: 04/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 BREA BLVD SUITE E
FULLERTON CA
92835-2000
US

IV. Provider business mailing address

2900 BREA BLVD SUITE E
FULLERTON CA
92835-2000
US

V. Phone/Fax

Practice location:
  • Phone: 714-529-1077
  • Fax: 714-529-3777
Mailing address:
  • Phone: 714-529-1077
  • Fax: 714-529-3777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC29896
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: