MEDICARE: YUANRUI LIANG L.AC

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	171100000X	Acupuncturist	19878	CA

General Provider Information

NPI Number	:	1649048521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUANRUI LIANG L.AC

Provider Business Mailing Address
First Line	:	527 GARDEN AVE
Second Line	:
City	:	POMONA
State	:	CA
Zip	:	91767-2277
Country	:	US
Telephone Number	:	626-223-9932
Fax Number	:

Provider Business Practice Location Address
First Line	:	510 N 13TH AVE STE 104
Second Line	:
City	:	UPLAND
State	:	CA
Zip	:	91786-4973
Country	:	US
Telephone Number	:	909-345-1860
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2023
Last Update Date	:	12/19/2023

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Directions to “ YUANRUI LIANG L.AC” Practice Location

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