Provider Demographics
NPI:1184483075
Name:LIU, LIANG (LAC)
Entity type:Individual
Prefix:
First Name:LIANG
Middle Name:
Last Name:LIU
Suffix:
Gender:
Credentials:LAC
Other - Prefix:
Other - First Name:ERIC
Other - Middle Name:
Other - Last Name:LIU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC
Mailing Address - Street 1:16028 GALE AVE
Mailing Address - Street 2:
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-1605
Mailing Address - Country:US
Mailing Address - Phone:562-509-9685
Mailing Address - Fax:626-336-5605
Practice Address - Street 1:11274 LOS ALAMITOS BLVD
Practice Address - Street 2:
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-3958
Practice Address - Country:US
Practice Address - Phone:562-509-9685
Practice Address - Fax:626-336-5605
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-14
Last Update Date:2025-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00020010171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist