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NPI Code Detail

MEDICARE: SELINA LIANG

MEDICARE: SELINA LIANG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist83615CA
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist20614NV

General Provider Information

NPI Number : 1346854833
Entity Type Code : Individual
Provider Name (Legal Business Name) : SELINA LIANG
Provider Business Mailing Address
First Line : 2169 W REDONDO BEACH BLVD
Second Line :
City : GARDENA
State : CA
Zip : 90247-3625
Country : US
Telephone Number : 310-515-3783
Fax Number :
Provider Business Practice Location Address
First Line : 2169 W REDONDO BEACH BLVD
Second Line :
City : GARDENA
State : CA
Zip : 90247-3625
Country : US
Telephone Number : 310-515-3783
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2020
Last Update Date : 12/02/2020

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Directions to “ SELINA LIANG ” Practice Location

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