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NPI Code Detail

MEDICARE: DR. BRANDON MICHAEL LIANG MD

MEDICARE: DR. BRANDON MICHAEL LIANG MD
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
12084P0800XPsychiatry PhysicianA167035CA

General Provider Information

NPI Number : 1912403932
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRANDON MICHAEL LIANG MD
Provider Business Mailing Address
First Line : 2625 E DIVISADERO ST
Second Line :
City : FRESNO
State : CA
Zip : 93721-1431
Country : US
Telephone Number : 559-443-2682
Fax Number : 559-443-2681
Provider Business Practice Location Address
First Line : 1925 E DAKOTA AVE
Second Line :
City : FRESNO
State : CA
Zip : 93726-4821
Country : US
Telephone Number : 559-600-4099
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2018
Last Update Date : 03/10/2026

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