Healthcare Provider Details

I. General information

NPI: 1386226553
Provider Name (Legal Business Name): LIWAY PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2021
Last Update Date: 07/20/2024
Certification Date: 07/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

78 S ROSEMEAD BLVD
PASADENA CA
91107-3959
US

IV. Provider business mailing address

78 S ROSEMEAD BLVD
PASADENA CA
91107-3959
US

V. Phone/Fax

Practice location:
  • Phone: 626-838-7038
  • Fax:
Mailing address:
  • Phone: 626-838-7038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: MR. TUNGCHEN HSIEH
Title or Position: CEO
Credential:
Phone: 626-298-6117