Healthcare Provider Details
I. General information
NPI: 1205583101
Provider Name (Legal Business Name): ZHULIN LIU DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/10/2022
Last Update Date: 03/10/2022
Certification Date: 12/14/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
701 S ATLANTIC BLVD STE 100
MONTEREY PARK CA
91754-3845
US
IV. Provider business mailing address
21108 BLOSSOM WAY
DIAMOND BAR CA
91765-3776
US
V. Phone/Fax
- Phone: 626-300-9980
- Fax: 626-300-9322
- Phone: 818-877-8333
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 35128 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: