MEDICARE: DR. JANE H. LIANG O.D. INC

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
1	152W00000X	Optometrist	CA 11266T	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427211721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. JANE H. LIANG O.D. INC

Provider Business Mailing Address
First Line	:	2115 S HACIENDA BLVD
Second Line	:
City	:	HACIENDA HEIGHTS
State	:	CA
Zip	:	91745-4243
Country	:	US
Telephone Number	:	626-330-4115
Fax Number	:	626-330-4116

Provider Business Practice Location Address
First Line	:	2115 S HACIENDA BLVD
Second Line	:
City	:	HACIENDA HEIGHTS
State	:	CA
Zip	:	91745-4243
Country	:	US
Telephone Number	:	626-330-4115
Fax Number	:	626-330-4116

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JANE LIANG
Credential	:	O.D.
Telephone Number	:	626-330-4115

Provider Enumeration Date	:	07/07/2008
Last Update Date	:	12/12/2023

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