Healthcare Provider Details

I. General information

NPI: 1689559114
Provider Name (Legal Business Name): HUAXIN LIU DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2025
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E CALAVERAS BLVD STE 104
MILPITAS CA
95035-7708
US

IV. Provider business mailing address

514 HERMITAGE PL
SAN JOSE CA
95134-1326
US

V. Phone/Fax

Practice location:
  • Phone: 669-294-6929
  • Fax:
Mailing address:
  • Phone: 669-294-6929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC37402
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: