Provider Demographics
NPI:1548313505
Name:LIU, RUI QIONG (LAC,OMD)
Entity type:Individual
Prefix:MS
First Name:RUI
Middle Name:QIONG
Last Name:LIU
Suffix:
Gender:F
Credentials:LAC,OMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1441 FRANKLIN ST
Mailing Address - Street 2:SUIT 203
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-3219
Mailing Address - Country:US
Mailing Address - Phone:510-420-5787
Mailing Address - Fax:510-834-8658
Practice Address - Street 1:1441 FRANKLIN ST
Practice Address - Street 2:SUIT 203
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-3219
Practice Address - Country:US
Practice Address - Phone:510-420-5787
Practice Address - Fax:510-834-8658
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC10215171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist