MEDICARE: AIMING HUANG LIU LAC

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	AC5050	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0050500	OTHER	CA	MIEDCAL

General Provider Information

NPI Number	:	1770640583
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AIMING HUANG LIU LAC

Provider Business Mailing Address
First Line	:	10527 SAN PABLO AVE
Second Line	:
City	:	EL CERRITO
State	:	CA
Zip	:	94530-2820
Country	:	US
Telephone Number	:	510-525-2910
Fax Number	:	510-525-3109

Provider Business Practice Location Address
First Line	:	10527 SAN PABLO AVE
Second Line	:
City	:	EL CERRITO
State	:	CA
Zip	:	94530-2820
Country	:	US
Telephone Number	:	510-525-2910
Fax Number	:	510-525-3109

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

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	07/08/2007

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Directions to “ AIMING HUANG LIU LAC” Practice Location

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