Provider Demographics
NPI:1629188081
Name:LIU, YUNBO (LAC)
Entity Type:Individual
Prefix:MR
First Name:YUNBO
Middle Name:
Last Name:LIU
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3925 ROSEMEAD BLVD
Mailing Address - Street 2:#102
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-1933
Mailing Address - Country:US
Mailing Address - Phone:626-288-1368
Mailing Address - Fax:626-288-1612
Practice Address - Street 1:3925 ROSEMEAD BLVD
Practice Address - Street 2:#102
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-1933
Practice Address - Country:US
Practice Address - Phone:626-288-1368
Practice Address - Fax:626-288-1612
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAAC0052150171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist