Healthcare Provider Details

I. General information

NPI: 1902022544
Provider Name (Legal Business Name): LIU'S CHIROPIACTIC&ORIENTAL MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 06/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2440 S HACIENDA BLVD #202
HACIENDA HEIGHTS CA
91745-4775
US

IV. Provider business mailing address

2440 SOUTH HACIENDA BLVD. #202
HACIENDA HEIGHTS CA
91745-4775
US

V. Phone/Fax

Practice location:
  • Phone: 626-457-8088
  • Fax: 626-457-8087
Mailing address:
  • Phone: 626-457-8088
  • Fax: 626-457-8087

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number23548
License Number StateCA

VIII. Authorized Official

Name: MISS YAPING LIU
Title or Position: C.F.O.
Credential: D.C.
Phone: 626-457-8088