Provider Demographics
NPI:1336450055
Name:LIU, RUIHAI (LAC DAOM)
Entity type:Individual
Prefix:MRS
First Name:RUIHAI
Middle Name:
Last Name:LIU
Suffix:
Gender:F
Credentials:LAC DAOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1883 FOX SPRINGS CIR
Mailing Address - Street 2:
Mailing Address - City:NEWBURY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91320-5906
Mailing Address - Country:US
Mailing Address - Phone:805-432-4936
Mailing Address - Fax:
Practice Address - Street 1:299 W HILLCREST DR STE 206
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-7836
Practice Address - Country:US
Practice Address - Phone:805-432-4936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-28
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13531171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist