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General NPI Number Information
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NPI Number | 1639124514
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Entity Type | Individual
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Provider Name | SCOTT LIANG MD
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Gender | Male
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 08/18/2022
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Provider Practice Location Address
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Address Line | 900 S 1ST AVE STE G
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City | ARCADIA
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State | CA
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Zip | 91006-3919
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Country | US
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Telephone | 626-628-0808
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Fax | 626-628-0809
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Provider Business Mailing Address
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Address Line | 4153 E LIVE OAK AVE
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City | ARCADIA
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State | CA
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Zip | 91006-5828
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Country | US
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Telephone | 626-628-0808
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Fax | 626-628-0816
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A86197
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License Number State | CA
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