Provider Demographics
NPI:1316621410
Name:LIU ACUPUNCTURE AND HOLISTIC HEALTH INC
Entity type:Organization
Organization Name:LIU ACUPUNCTURE AND HOLISTIC HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:MS
Authorized Official - First Name:DONGMEI
Authorized Official - Middle Name:
Authorized Official - Last Name:LIU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-297-1928
Mailing Address - Street 1:1449 WESLEY AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91104-2642
Mailing Address - Country:US
Mailing Address - Phone:626-297-1928
Mailing Address - Fax:
Practice Address - Street 1:1455 SAN MARINO AVE # B
Practice Address - Street 2:
Practice Address - City:SAN MARINO
Practice Address - State:CA
Practice Address - Zip Code:91108-2033
Practice Address - Country:US
Practice Address - Phone:626-297-1928
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service