Healthcare Provider Details

I. General information

NPI: 1396921425
Provider Name (Legal Business Name): LING-CHIH LIANG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2008
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 LONE TREE WAY
ANTIOCH CA
94509-6200
US

IV. Provider business mailing address

3687 MT DIABLO BLVD STE 200
LAFAYETTE CA
94549-3746
US

V. Phone/Fax

Practice location:
  • Phone: 925-756-1192
  • Fax: 925-756-1869
Mailing address:
  • Phone: 916-854-6975
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2006017326
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA104482
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA104482
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: