Healthcare Provider Details

I. General information

NPI: 1467045989
Provider Name (Legal Business Name): XIAOZHI LIU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2021
Last Update Date: 02/16/2021
Certification Date: 02/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E REMINGTON DR STE 25
SUNNYVALE CA
94087-2612
US

IV. Provider business mailing address

5311 AREZZO DR
SAN JOSE CA
95138-2202
US

V. Phone/Fax

Practice location:
  • Phone: 408-720-1766
  • Fax:
Mailing address:
  • Phone: 408-324-6869
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: