Individual
JIM LIANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
600 N GARFIELD AVE STE 308, MONTEREY PARK, CA 91754-1169
(626) 288-0889
Mailing address
2032 E SHAMWOOD ST, WEST COVINA, CA 91791-1522
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95022913
CA
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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