Healthcare Provider Details

I. General information

NPI: 1093185811
Provider Name (Legal Business Name): SYLVIA CHAC LIANG DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2015
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

599 S BARRANCA AVE STE 555
COVINA CA
91723-2791
US

IV. Provider business mailing address

321 N LARCHMONT BLVD STE 825
LOS ANGELES CA
90004-6400
US

V. Phone/Fax

Practice location:
  • Phone: 818-894-2273
  • Fax: 818-357-2505
Mailing address:
  • Phone: 323-464-4458
  • Fax: 323-464-5329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number42854
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: