Provider Demographics
NPI:1598815201
Name:LIANG, SAM SHIEN-CHIEN (LAC, PHD)
Entity Type:Individual
Prefix:DR
First Name:SAM
Middle Name:SHIEN-CHIEN
Last Name:LIANG
Suffix:
Gender:M
Credentials:LAC, PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:22706 ASPAN ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-1603
Mailing Address - Country:US
Mailing Address - Phone:949-472-6391
Mailing Address - Fax:949-472-6414
Practice Address - Street 1:22706 ASPAN ST
Practice Address - Street 2:SUITE 300
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-1603
Practice Address - Country:US
Practice Address - Phone:949-472-6391
Practice Address - Fax:949-472-6414
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC1299171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist