Healthcare Provider Details

I. General information

NPI: 1245319706
Provider Name (Legal Business Name): DR. DAWN LIU CHIROPRACTIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 02/23/2024
Certification Date: 02/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

977 LOMAS SANTA FE DR STE D
SOLANA BEACH CA
92075-2134
US

IV. Provider business mailing address

977 LOMAS SANTA FE DR STE D
SOLANA BEACH CA
92075-2134
US

V. Phone/Fax

Practice location:
  • Phone: 858-481-1438
  • Fax: 858-481-1738
Mailing address:
  • Phone: 858-481-1438
  • Fax: 858-481-1738

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC-29169
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC 9937
License Number StateCA

VIII. Authorized Official

Name: DR. DAWN XIAODONG LIU
Title or Position: PRESIDENT
Credential: DC, L.AC
Phone: 858-481-1438