Healthcare Provider Details

I. General information

NPI: 1275939431
Provider Name (Legal Business Name): KUEI KU LIU
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2014
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

446 N CRAIG AVE
PASADENA CA
91107-2460
US

IV. Provider business mailing address

446 N CRAIG AVE
PASADENA CA
91107-2460
US

V. Phone/Fax

Practice location:
  • Phone: 626-466-5364
  • Fax: 626-578-1619
Mailing address:
  • Phone: 626-466-5364
  • Fax: 626-578-1619

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberCA16237
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: