=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760693113
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WESTERN AND EASTERN MEDICAL PRACTICE CENTER
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/25/2007
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2568 NORIEGA STREET SUITE 203#
-----------------------------------------------------
City | SAN FRANCISCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94122-4166
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 415-564-8022
-----------------------------------------------------
Fax | 415-564-1996
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2568 NORIEGA STREET SUITE 203# SF CA 94122 4166
-----------------------------------------------------
City | SAN FRANCISCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94122-4166
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 415-564-8022
-----------------------------------------------------
Fax | 415-564-1996
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FNP LAC PRESIDENT OF THE ORGANIZATI
-----------------------------------------------------
Name | MRS. JUN TING LIU
-----------------------------------------------------
Credential | FNP MSN LAC PHD
-----------------------------------------------------
Telephone | 415-564-8022
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number | 8803
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | A38420
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------