Individual
BRIAN LIYANTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 W HUNTINGTON DR, ARCADIA, CA 91007-3402
(626) 574-3540
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(626) 574-3540
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A143981
CA
Other
Enumeration date
05/02/2016
Last updated
09/30/2025
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