Dr Yong Liang Medical Office Inc | |
888 N Hill St Los Angeles CA 90012-2321 | |
(626) 236-3468 | |
Not Available |
Full Name | Dr Yong Liang Medical Office Inc |
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Speciality | Clinic/Center |
Location | 888 N Hill St, Los Angeles, California |
Authorized Official Name and Position | Yong Yao Liang (PRESIDENT) |
Authorized Official Contact | 2136870863 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dr Yong Liang Medical Office Inc 888 N Hill St Los Angeles CA 90012-2321 Ph: (626) 236-3468 | Dr Yong Liang Medical Office Inc 888 N Hill St Los Angeles CA 90012-2321 Ph: (626) 236-3468 |
NPI Number | 1649468687 |
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Provider Enumeration Date | 10/03/2007 |
Last Update Date | 10/22/2007 |
Medicare PECOS PAC ID | 3173619822 |
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Medicare Enrollment ID | O20071011000328 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649468687 | NPI | - | NPPES |
4892735 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | A79056 (California) | Primary |
Provider Name | Yong Y Liang |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477596054 PECOS PAC ID: 1951205657 Enrollment ID: I20031124000671 |
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