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General NPI Number Information
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NPI Number | 1871712349
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Entity Type | Organization
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Legal Business Name | THOMAS LIAN MD APC
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 08/16/2020
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Provider Practice Location Address
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Address Line | 4077 FIFTH AVE
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City | SAN DIEGO
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State | CA
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Zip | 92103-2105
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Country | US
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Telephone | 619-220-8114
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Fax | 877-253-9831
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Provider Business Mailing Address
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Address Line | PO BOX 9268
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City | RANCHO SANTA FE
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State | CA
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Zip | 92067-4268
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Country | US
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Telephone | 619-220-8114
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Fax | 801-253-9831
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Authorized Official
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Title or Position | OWNER
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Name | THOMAS C LIAN
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Credential | M.D.
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Telephone | 619-220-8114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G60506
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License Number State | CA
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