Provider Demographics
NPI:1174793434
Name:LIAO, HUNG-CHI (LAC)
Entity type:Individual
Prefix:PROF
First Name:HUNG-CHI
Middle Name:
Last Name:LIAO
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 GENOA ST
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-3859
Mailing Address - Country:US
Mailing Address - Phone:626-215-3308
Mailing Address - Fax:626-307-1744
Practice Address - Street 1:600 N GARFIELD AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-1166
Practice Address - Country:US
Practice Address - Phone:626-215-3308
Practice Address - Fax:626-307-1744
Is Sole Proprietor?:No
Enumeration Date:2008-03-03
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 10169171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist