Provider Demographics
NPI:1598784340
Name:LIANG, HONG (MD)
Entity Type:Individual
Prefix:DR
First Name:HONG
Middle Name:
Last Name:LIANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3105 DEL MAR AVE
Mailing Address - Street 2:
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-2366
Mailing Address - Country:US
Mailing Address - Phone:626-280-8897
Mailing Address - Fax:626-280-9902
Practice Address - Street 1:3105 DEL MAR AVE
Practice Address - Street 2:
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-2366
Practice Address - Country:US
Practice Address - Phone:626-280-8897
Practice Address - Fax:626-280-9902
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA66820207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A668200Medicaid
H01075Medicare UPIN
CAA66820Medicare ID - Type Unspecified