MEDICARE: KRISTEN SONG YE LIANG PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	86162	CA

General Provider Information

NPI Number	:	1639800337
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN SONG YE LIANG PHARMD

Provider Business Mailing Address
First Line	:	4867 W SUNSET BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-5969
Country	:	US
Telephone Number	:	323-783-7887
Fax Number	:

Provider Business Practice Location Address
First Line	:	4867 W SUNSET BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-5969
Country	:	US
Telephone Number	:	323-783-7887
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2022
Last Update Date	:	03/13/2026

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