Provider Demographics
NPI:1477014918
Name:LIANG, JONATHAN LEE (DO)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:LEE
Last Name:LIANG
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:240 MEETING HOUSE LN
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:NY
Mailing Address - Zip Code:11968-5009
Mailing Address - Country:US
Mailing Address - Phone:631-726-8200
Mailing Address - Fax:631-726-0396
Practice Address - Street 1:4320 MARICOPA ST
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-4314
Practice Address - Country:US
Practice Address - Phone:562-424-1011
Practice Address - Fax:562-424-1027
Is Sole Proprietor?:No
Enumeration Date:2019-03-27
Last Update Date:2023-07-21
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Provider Licenses
StateLicense IDTaxonomies
CA20A20938208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation