Healthcare Provider Details

I. General information

NPI: 1033520085
Provider Name (Legal Business Name): AIPING LIU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2014
Last Update Date: 02/04/2022
Certification Date: 02/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 NORTH JACKSON AVE SUITE 213
SAN JOSE CA
95116-1909
US

IV. Provider business mailing address

175 NORTH JACKSON AVE SUITE 213
SAN JOSE CA
95116-1909
US

V. Phone/Fax

Practice location:
  • Phone: 669-286-3119
  • Fax:
Mailing address:
  • Phone: 669-286-3119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC16042
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: