Provider Demographics
NPI:1225190721
Name:LIANG, ADA XI YANG (OMD)
Entity type:Individual
Prefix:DR
First Name:ADA
Middle Name:XI YANG
Last Name:LIANG
Suffix:
Gender:F
Credentials:OMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 WESTDALE AVENUE
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015-1024
Mailing Address - Country:US
Mailing Address - Phone:650-992-8512
Mailing Address - Fax:650-992-8512
Practice Address - Street 1:545 INTERNATIONAL BLVD #201
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94606
Practice Address - Country:US
Practice Address - Phone:510-893-2826
Practice Address - Fax:510-893-2826
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC3394171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist