Provider Demographics
NPI:1235596412
Name:LIU, ZHONGBIN
Entity Type:Individual
Prefix:
First Name:ZHONGBIN
Middle Name:
Last Name:LIU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1607 LAFAYETTE ST STE L
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-3983
Mailing Address - Country:US
Mailing Address - Phone:408-887-3271
Mailing Address - Fax:408-261-1111
Practice Address - Street 1:1607 LAFAYETTE ST STE L
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-3983
Practice Address - Country:US
Practice Address - Phone:408-887-3271
Practice Address - Fax:408-261-1111
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-19
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC6620171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist