Provider Demographics
NPI:1154034403
Name:LIANG, LI (FNP)
Entity type:Individual
Prefix:
First Name:LI
Middle Name:
Last Name:LIANG
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14335 PIPELINE AVE STE A-1
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-5642
Mailing Address - Country:US
Mailing Address - Phone:909-548-3888
Mailing Address - Fax:
Practice Address - Street 1:14335 PIPELINE AVE STE A-1
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-5642
Practice Address - Country:US
Practice Address - Phone:909-548-3888
Practice Address - Fax:909-548-3999
Is Sole Proprietor?:No
Enumeration Date:2023-01-03
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95022509363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily