Healthcare Provider Details

I. General information

NPI: 1235596412
Provider Name (Legal Business Name): ZHONGBIN LIU
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2016
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 S WINCHESTER BLVD STE 3
SAN JOSE CA
95128-2932
US

IV. Provider business mailing address

900 S WINCHESTER BLVD STE 3
SAN JOSE CA
95128-2932
US

V. Phone/Fax

Practice location:
  • Phone: 408-868-2866
  • Fax: 408-887-3271
Mailing address:
  • Phone: 408-868-2866
  • Fax: 408-887-3271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC20498
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: