Healthcare Provider Details

I. General information

NPI: 1215183686
Provider Name (Legal Business Name): DR. CHIHKAI LIU
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2008
Last Update Date: 08/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14130 CULVER DR # I
IRVINE CA
92604-0314
US

IV. Provider business mailing address

2760 KELVIN AVE 3219
IRVINE CA
92614-5810
US

V. Phone/Fax

Practice location:
  • Phone: 310-866-0063
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC11561
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: