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Individual

DR. DAVID SHANGKANG LIAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.,PH.D.

Contact information

Practice address
1245 WILSHIRE BLVD STE 380, LOS ANGELES, CA 90017-4886
(213) 483-8810
(213) 975-9118
Mailing address
1245 WILSHIRE BLVD STE 380, LOS ANGELES, CA 90017-4886
(213) 483-8810
(213) 975-9118

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
231238
MA
207W00000X
Ophthalmology Physician
Primary
A112736
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2141892
MA
01
W3452
MEDICARE
CA
05
ZZZ74423Z
CA
Enumeration date
02/06/2007
Last updated
02/24/2021
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