Provider Demographics
NPI:1497884274
Name:LIU, DAWN X (DC)
Entity Type:Individual
Prefix:DR
First Name:DAWN
Middle Name:X
Last Name:LIU
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:XIAO-DONG
Other - Middle Name:
Other - Last Name:LIU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:977 LOMAS SANTA FE DR STE D
Mailing Address - Street 2:
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-2134
Mailing Address - Country:US
Mailing Address - Phone:858-481-1438
Mailing Address - Fax:858-481-1738
Practice Address - Street 1:977 LOMAS SANTA FE DR STE D
Practice Address - Street 2:
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-2134
Practice Address - Country:US
Practice Address - Phone:858-481-1438
Practice Address - Fax:858-481-1738
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29169111N00000X
CAAC9937171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1245319706OtherNPI CORPORATION NUMBER