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NPI Code Detail

MEDICARE: KANDICE LIANG NP

MEDICARE:   KANDICE  LIANG  NP
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
1363LF0000XFamily Nurse PractitionerF03260349CA

General Provider Information

NPI Number : 1568319127
Entity Type Code : Individual
Provider Name (Legal Business Name) : KANDICE LIANG NP
Provider Business Mailing Address
First Line : 350 N MISSION DR
Second Line :
City : SAN GABRIEL
State : CA
Zip : 91775-2751
Country : US
Telephone Number : 626-262-9310
Fax Number :
Provider Business Practice Location Address
First Line : 350 N MISSION DR
Second Line :
City : SAN GABRIEL
State : CA
Zip : 91775-2751
Country : US
Telephone Number : 626-262-9310
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2026
Last Update Date : 03/12/2026

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Directions to “ KANDICE LIANG NP” Practice Location

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