Provider Demographics
NPI:1275939431
Name:LIU, KUEI KU
Entity Type:Individual
Prefix:
First Name:KUEI KU
Middle Name:
Last Name:LIU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:446 N CRAIG AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-2460
Mailing Address - Country:US
Mailing Address - Phone:626-466-5364
Mailing Address - Fax:626-578-1619
Practice Address - Street 1:446 N CRAIG AVE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-2460
Practice Address - Country:US
Practice Address - Phone:626-466-5364
Practice Address - Fax:626-578-1619
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-14
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA16237171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist