Provider Demographics
NPI:1336384957
Name:LIU, JING (LAC, OMD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JING
Middle Name:
Last Name:LIU
Suffix:
Gender:F
Credentials:LAC, OMD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9220 E MOUNTAIN VIEW RD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5133
Mailing Address - Country:US
Mailing Address - Phone:480-451-8880
Mailing Address - Fax:480-451-8886
Practice Address - Street 1:9220 E MOUNTAIN VIEW RD
Practice Address - Street 2:SUITE 215
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5133
Practice Address - Country:US
Practice Address - Phone:480-451-8880
Practice Address - Fax:480-451-8886
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-10
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0392171100000X
CAAC 8551171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist