Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 30549 | CA |
NPI | 1073707535 |
---|---|
Provider Name | Eva Liu |
First Address | South Pasadena, CA 91030-3834 |
Second Address | South Pasadena, CA 91030-3834 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2007 |
Last Update Date | 28/08/2007 |