Provider Demographics
NPI:1013412311
Name:CHIU LIU, DANIELLE (DC)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:CHIU LIU
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:
Other - Last Name:CHIU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:521 LEGION AVE # 532N
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-4571
Mailing Address - Country:US
Mailing Address - Phone:305-281-6986
Mailing Address - Fax:
Practice Address - Street 1:521 LEGION AVE # 532N
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-4571
Practice Address - Country:US
Practice Address - Phone:305-281-6986
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-28
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33773111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor