Individual
BO LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
610 S SERRANO AVE, LOS ANGELES, CA 90005-2847
(213) 448-4189
Mailing address
400 CONTINENTAL CT, THOUSAND OAKS, CA 91320-4453
(805) 375-0456
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
6095
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6095
ACUPUNCTURE BOARD
CA
Enumeration date
12/27/2007
Last updated
12/27/2007
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