NPIMap

Organization Active NPI

Libery Health Center

  • Acupuncturist
  • San Bruno, CA
National Provider Identifier
1417471046
Registry record updated Jul 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
LIBERY HEALTH CENTER
Practice address
121 El Camino Real
San Bruno, CA 94066-5426
Phone
(650) 307-2873
NPI assigned
Jul 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Li Qiren
Title
Acupuncture
Phone
(650) 307-2873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X CA Primary

Addresses

Primary practice location

121 El Camino Real
San Bruno, CA 94066-5426

Mailing address

121 El Camino Real
San Bruno, CA 94066-5426

National Provider Directory

National Provider Directory
Tax ID family
Liberty Health Management Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

121 El Camino Real
San Bruno, CA 94066
Phone (650) 307-2873

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501027200000",
    "number": "1417471046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 EL CAMINO REAL",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940665426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 EL CAMINO REAL",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940665426",
            "telephone_number": "650-307-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2017-07-26",
        "status": "A",
        "authorized_official_last_name": "QIREN",
        "authorized_official_first_name": "LI",
        "authorized_official_title_or_position": "ACUPUNCTURE",
        "authorized_official_telephone_number": "650-307-2873"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bruno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.