Healthcare Provider Details

I. General information

NPI: 1417032004
Provider Name (Legal Business Name): HOLISTIC MEDICAL GROUP CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 11/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 N GARFIELD AVE
MONTEREY PARK CA
91754-1201
US

IV. Provider business mailing address

405 N GARFIELD AVE
MONTEREY PARK CA
91754-1201
US

V. Phone/Fax

Practice location:
  • Phone: 626-280-4884
  • Fax:
Mailing address:
  • Phone: 626-280-4884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LORINDA LIANG
Title or Position: OWNER
Credential: O.M.D.
Phone: 626-280-4884