NPIMap

Organization Active NPI

Liberty Health Management Corp.

  • Acupuncturist
  • San Bruno, CA
National Provider Identifier
1891211231
Registry record updated Aug 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC11227 Issued in CA
Legal business name
LIBERTY HEALTH MANAGEMENT CORP.
Practice address
121 El Camino Real
San Bruno, CA 94066-5426
Phone
(650) 588-8339
Fax
(650) 588-8337
NPI assigned
Aug 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2017

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

Authorized official

Name
Mr. Xiaojun Huang
Title
President
Phone
(415) 269-8732

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC11227 CA Primary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC4278 CA

Addresses

Primary practice location

121 El Camino Real
San Bruno, CA 94066-5426

Mailing address

121 El Camino Real
San Bruno, CA 94066-5426
Phone (650) 588-8339

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.

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502928000000",
    "number": "1891211231",
    "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",
            "telephone_number": "650-588-8339",
            "fax_number": "650-588-8337"
        },
        {
            "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": "650-588-8339",
            "fax_number": "650-588-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HEALTH MANAGEMENT CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2017-08-17",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "XIAOJUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-269-8732",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11227",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC4278",
            "primary": false
        }
    ],
    "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 Aug 17, 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.