Healthcare Provider Details

I. General information

NPI: 1417887555
Provider Name (Legal Business Name): LIANG MEDICAL CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8505 SANTA MONICA BLVD STE 2
WEST HOLLYWOOD CA
90069-4185
US

IV. Provider business mailing address

20355 SHERMAN WAY APT 337
WINNETKA CA
91306-3174
US

V. Phone/Fax

Practice location:
  • Phone: 747-264-6120
  • Fax:
Mailing address:
  • Phone: 747-264-6120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: XIAO LIANG
Title or Position: CEO
Credential:
Phone: 747-264-6120