Provider Demographics
NPI:1265556070
Name:LIAW, MING HWANG (LAC OMD)
Entity type:Individual
Prefix:DR
First Name:MING HWANG
Middle Name:
Last Name:LIAW
Suffix:
Gender:M
Credentials:LAC OMD
Other - Prefix:DR
Other - First Name:MIKE
Other - Middle Name:
Other - Last Name:LIAW
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC OMD
Mailing Address - Street 1:1706 WILLOW ST STE E
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95125-5216
Mailing Address - Country:US
Mailing Address - Phone:408-370-9988
Mailing Address - Fax:408-370-9988
Practice Address - Street 1:1706 WILLOW ST STE E
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95125-5216
Practice Address - Country:US
Practice Address - Phone:408-370-9988
Practice Address - Fax:408-370-9988
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC9025171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist