Provider Demographics
NPI:1770640583
Name:LIU, AIMING HUANG (LAC)
Entity Type:Individual
Prefix:
First Name:AIMING
Middle Name:HUANG
Last Name:LIU
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10527 SAN PABLO AVE
Mailing Address - Street 2:
Mailing Address - City:EL CERRITO
Mailing Address - State:CA
Mailing Address - Zip Code:94530-2820
Mailing Address - Country:US
Mailing Address - Phone:510-525-2910
Mailing Address - Fax:510-525-3109
Practice Address - Street 1:10527 SAN PABLO AVE
Practice Address - Street 2:
Practice Address - City:EL CERRITO
Practice Address - State:CA
Practice Address - Zip Code:94530-2820
Practice Address - Country:US
Practice Address - Phone:510-525-2910
Practice Address - Fax:510-525-3109
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC5050171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0050500OtherMIEDCAL