Provider Demographics
NPI:1922296516
Name:LIU, HAO (OMD, L AC)
Entity Type:Individual
Prefix:DR
First Name:HAO
Middle Name:
Last Name:LIU
Suffix:
Gender:M
Credentials:OMD, L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10201 S DE ANZA BLVD
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-3007
Mailing Address - Country:US
Mailing Address - Phone:650-759-4675
Mailing Address - Fax:844-270-1945
Practice Address - Street 1:10201 S DE ANZA BLVD
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014
Practice Address - Country:US
Practice Address - Phone:650-759-4675
Practice Address - Fax:844-270-1945
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-09
Last Update Date:2018-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC7270171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist