Healthcare Provider Details

I. General information

NPI: 1891670964
Provider Name (Legal Business Name): HAOXUN LIU
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2025
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4951 ARROYO RD
LIVERMORE CA
94550-9650
US

IV. Provider business mailing address

245 W GARVEY AVE UNIT 1289
MONTEREY PARK CA
91754-9460
US

V. Phone/Fax

Practice location:
  • Phone: 925-373-4700
  • Fax:
Mailing address:
  • Phone: 626-977-3547
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: