Provider Demographics
NPI:1639363864
Name:LIU, BIAO
Entity Type:Individual
Prefix:
First Name:BIAO
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 1:10062 MILLER AVE
Mailing Address - Street 2:SUITE#180
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-3494
Mailing Address - Country:US
Mailing Address - Phone:408-702-2111
Mailing Address - Fax:
Practice Address - Street 1:10062 MILLER AVE
Practice Address - Street 2:SUITE#180
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-3494
Practice Address - Country:US
Practice Address - Phone:408-702-2111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-30
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC11365171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist