Provider Demographics
NPI:1003951898
Name:LIU, HONG (L AC,)
Entity Type:Individual
Prefix:DR
First Name:HONG
Middle Name:
Last Name:LIU
Suffix:
Gender:F
Credentials:L AC,
Other - Prefix:DR
Other - First Name:DAISY
Other - Middle Name:HONG
Other - Last Name:LIU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:L AC
Mailing Address - Street 1:4906 EL CAMINO REAL
Mailing Address - Street 2:SUITE 205
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94022-1449
Mailing Address - Country:US
Mailing Address - Phone:650-968-8899
Mailing Address - Fax:650-968-0168
Practice Address - Street 1:4906 EL CAMINO REAL
Practice Address - Street 2:SUITE 205.
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94022-1449
Practice Address - Country:US
Practice Address - Phone:650-968-8899
Practice Address - Fax:650-968-0168
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAL. AC 4896171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist