Provider Demographics
NPI:1043087745
Name:DR. JANE H LIANG OD INC.
Entity Type:Organization
Organization Name:DR. JANE H LIANG OD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMOTRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JANE
Authorized Official - Middle Name:H
Authorized Official - Last Name:LIANG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:626-330-4115
Mailing Address - Street 1:2115 S HACIENDA BLVD
Mailing Address - Street 2:
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-4243
Mailing Address - Country:US
Mailing Address - Phone:626-330-4115
Mailing Address - Fax:626-330-4116
Practice Address - Street 1:18052 CULVER DR
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-2730
Practice Address - Country:US
Practice Address - Phone:949-502-0123
Practice Address - Fax:949-502-0129
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JANE H LIANG OD INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty