MEDICARE: DR. JIANGHUA LIU L.AC.

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	AC 10885	CA

General Provider Information

NPI Number	:	1871507814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JIANGHUA LIU L.AC.

Provider Business Mailing Address
First Line	:	680 BREA CANYON RD STE 158
Second Line	:
City	:	DIAMOND BAR
State	:	CA
Zip	:	91789-3005
Country	:	US
Telephone Number	:	909-869-1999
Fax Number	:

Provider Business Practice Location Address
First Line	:	680 BREA CANYON RD STE 158
Second Line	:
City	:	DIAMOND BAR
State	:	CA
Zip	:	91789-3005
Country	:	US
Telephone Number	:	909-869-1999
Fax Number	:

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

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	07/16/2020

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