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NPI Code Detail

MEDICARE: MR. GUOQING LIU I

MEDICARE: MR. GUOQING LIU I
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
1225700000XMassage Therapist78058CA

General Provider Information

NPI Number : 1548932510
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GUOQING LIU I
Provider Business Mailing Address
First Line : 3237 SANTA CLARA AVE # A
Second Line :
City : EL CERRITO
State : CA
Zip : 94530-3848
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3237 SANTA CLARA AVE # A
Second Line :
City : EL CERRITO
State : CA
Zip : 94530-3848
Country : US
Telephone Number : 510-816-1180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2021
Last Update Date : 09/29/2021

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Directions to “ MR. GUOQING LIU I ” Practice Location

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