Individual
DR. LIANA NIKOLAENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A123882
CA
207RH0000X
Hematology (Internal Medicine) Physician
Primary
A123882
CA
207RX0202X
Medical Oncology Physician
A123882
CA
Other
Enumeration date
01/23/2013
Last updated
11/19/2020
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