Provider Demographics
NPI:1194261941
Name:LIANG, JIANYING
Entity type:Individual
Prefix:
First Name:JIANYING
Middle Name:
Last Name:LIANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46292 WARM SPRINGS BLVD UNIT 638
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-7942
Mailing Address - Country:US
Mailing Address - Phone:415-666-6600
Mailing Address - Fax:
Practice Address - Street 1:46923 WARM SPRINGS BLVD STE 206
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94539-7977
Practice Address - Country:US
Practice Address - Phone:510-556-5777
Practice Address - Fax:510-788-3755
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-17
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC17273171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist