Provider Demographics
NPI:1801004916
Name:LIU, HENG YEN (CA)
Entity Type:Individual
Prefix:
First Name:HENG YEN
Middle Name:
Last Name:LIU
Suffix:
Gender:M
Credentials:CA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 S WESTERN AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90005-5112
Mailing Address - Country:US
Mailing Address - Phone:213-383-9511
Mailing Address - Fax:213-383-9512
Practice Address - Street 1:700 S WESTERN AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90005-5112
Practice Address - Country:US
Practice Address - Phone:213-383-9511
Practice Address - Fax:213-383-9512
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC0002600171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist