Individual
IVAN LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACUPUNCTURIST
Contact information
Practice address
3107 DEL MAR AVE, ROSEMEAD, CA 91770-2366
(626) 282-7488
(626) 571-7488
Mailing address
3107 DEL MAR AVE, ROSEMEAD, CA 91770-2366
(626) 282-7488
(626) 571-7488
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC11487
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043497332
—
CA
Enumeration date
01/29/2008
Last updated
05/21/2019
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