Provider Demographics
NPI:1477596054
Name:LIANG, YONG YAO (MD)
Entity Type:Individual
Prefix:DR
First Name:YONG
Middle Name:YAO
Last Name:LIANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:888 N HILL ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90012-2321
Mailing Address - Country:US
Mailing Address - Phone:213-687-0863
Mailing Address - Fax:213-687-0869
Practice Address - Street 1:888 N HILL ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90012-2321
Practice Address - Country:US
Practice Address - Phone:213-687-0863
Practice Address - Fax:213-687-0869
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA79056207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4892735Medicaid
CA4892735Medicaid
WA79056EMedicare PIN
CAA79056Medicare PIN