Provider Demographics
NPI:1902022544
Name:LIU'S CHIROPIACTIC&ORIENTAL MEDICAL
Entity Type:Organization
Organization Name:LIU'S CHIROPIACTIC&ORIENTAL MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.F.O.
Authorized Official - Prefix:MISS
Authorized Official - First Name:YAPING
Authorized Official - Middle Name:
Authorized Official - Last Name:LIU
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:626-457-8088
Mailing Address - Street 1:2440 SOUTH HACIENDA BLVD.
Mailing Address - Street 2:#202
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-4775
Mailing Address - Country:US
Mailing Address - Phone:626-457-8088
Mailing Address - Fax:626-457-8087
Practice Address - Street 1:2440 S HACIENDA BLVD
Practice Address - Street 2:#202
Practice Address - City:HACIENDA HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91745-4775
Practice Address - Country:US
Practice Address - Phone:626-457-8088
Practice Address - Fax:626-457-8087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23548111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA2712727Medicaid
CA56390Medicare UPIN