Organization
UNIVERSITY OF NORTHERN CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOUNG KING LIU PH. D., L.AC. (PRESIDENT)
(707) 636-5960
Entity
Organization
Contact information
Practice address
1300 VALLEY HOUSE DR, SUITE 100-27, ROHNERT PARK, CA 94928-4927
(707) 664-6365
Mailing address
1300 VALLEY HOUSE DR, SUITE 100-27, ROHNERT PARK, CA 94928-4927
(707) 664-6365
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
AC 737
CA
Other
Enumeration date
07/06/2011
Last updated
01/26/2015
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