Individual
JAYSON LIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6801 PARK TER # 140400, LOS ANGELES, CA 90045-1543
(310) 665-7200
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-2060
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A193123
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2019
Last updated
07/22/2024
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