Healthcare Provider Details

I. General information

NPI: 1720133697
Provider Name (Legal Business Name): HONG LIU L.AC., DIPL.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40150 WINCHESTER RD STE 2
TEMECULA CA
92591-5548
US

IV. Provider business mailing address

40150 WINCHESTER RD STE 2
TEMECULA CA
92591-5548
US

V. Phone/Fax

Practice location:
  • Phone: 951-587-8878
  • Fax: 951-587-6578
Mailing address:
  • Phone: 951-587-8878
  • Fax: 951-587-6578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC7370
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: