MEDICARE: ANTHONY LIN 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
1	225100000X	Physical Therapist	305777	CA

General Provider Information

NPI Number	:	1679431894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY LIN LIANG

Provider Business Mailing Address
First Line	:	317 W LAS TUNAS DR STE 205
Second Line	:
City	:	SAN GABRIEL
State	:	CA
Zip	:	91776-1266
Country	:	US
Telephone Number	:	415-932-9046
Fax Number	:

Provider Business Practice Location Address
First Line	:	317 W LAS TUNAS DR STE 205
Second Line	:
City	:	SAN GABRIEL
State	:	CA
Zip	:	91776-1266
Country	:	US
Telephone Number	:	415-932-9046
Fax Number	:

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

Provider Enumeration Date	:	01/15/2026
Last Update Date	:	01/15/2026

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Directions to “ ANTHONY LIN LIANG ” Practice Location

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