Healthcare Provider Details

I. General information

NPI: 1093271611
Provider Name (Legal Business Name): STELLA LIANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2019
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date: 07/11/2023
Reactivation Date: 08/16/2023

III. Provider practice location address

1720 ARDMORE AVE APT 301
HERMOSA BEACH CA
90254-3001
US

IV. Provider business mailing address

222 IDAHO AVE APT 10
SANTA MONICA CA
90403-2543
US

V. Phone/Fax

Practice location:
  • Phone: 424-877-3166
  • Fax:
Mailing address:
  • Phone: 424-877-3166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: