Provider Demographics
NPI:1669757985
Name:LIU, DONGMEI (MD, PHD, LAC)
Entity type:Individual
Prefix:DR
First Name:DONGMEI
Middle Name:
Last Name:LIU
Suffix:
Gender:F
Credentials:MD, PHD, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1449 WESLEY AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91104-2642
Mailing Address - Country:US
Mailing Address - Phone:626-297-1928
Mailing Address - Fax:626-384-2796
Practice Address - Street 1:1455 SAN MARINO AVE
Practice Address - Street 2:
Practice Address - City:SAN MARINO
Practice Address - State:CA
Practice Address - Zip Code:91108-2033
Practice Address - Country:US
Practice Address - Phone:626-297-1928
Practice Address - Fax:626-384-2796
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-18
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171100000X
CAAC14144171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist