MEDICARE: KELAN LIU ACU

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	171100000X	Acupuncturist	5784	CA

General Provider Information

NPI Number	:	1184949448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELAN LIU ACU

Provider Business Mailing Address
First Line	:	4849 VAN NUYS BLVD
Second Line	:	SUITE 206
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91403-2110
Country	:	US
Telephone Number	:	818-386-0629
Fax Number	:	818-386-0891

Provider Business Practice Location Address
First Line	:	4849 VAN NUYS BLVD
Second Line	:	SUITE 206
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91403-2110
Country	:	US
Telephone Number	:	818-386-0629
Fax Number	:	818-386-0891

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2010
Last Update Date	:	01/11/2026

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Directions to “ KELAN LIU ACU” Practice Location

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