MEDICARE: LP ACUPUNCTURE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251K00000X	Public Health or Welfare Agency	12504	CA

General Provider Information

NPI Number	:	1134313141
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LP ACUPUNCTURE

Provider Business Mailing Address
First Line	:	778 N 1ST ST
Second Line	:	200
City	:	SAN JOSE
State	:	CA
Zip	:	95112-6342
Country	:	US
Telephone Number	:	408-667-9492
Fax Number	:

Provider Business Practice Location Address
First Line	:	778 N 1ST ST
Second Line	:	200
City	:	SAN JOSE
State	:	CA
Zip	:	95112-6342
Country	:	US
Telephone Number	:	408-667-9492
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. CHARLIE CHAOMEI LIU
Credential	:
Telephone Number	:	408-667-9492

Provider Enumeration Date	:	09/02/2007
Last Update Date	:	01/13/2010

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Directions to “LP ACUPUNCTURE ” Practice Location

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