Provider Demographics
NPI:1912043001
Name:LIANG, JASON XINGJIE (LAC)
Entity Type:Individual
Prefix:MR
First Name:JASON
Middle Name:XINGJIE
Last Name:LIANG
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:275 HOSPITAL PKWY
Mailing Address - Street 2:SUITE 325
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95119-1106
Mailing Address - Country:US
Mailing Address - Phone:408-363-4502
Mailing Address - Fax:408-972-6261
Practice Address - Street 1:275 HOSPITAL PKWY
Practice Address - Street 2:SUITE 325
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95119-1106
Practice Address - Country:US
Practice Address - Phone:408-363-4502
Practice Address - Fax:408-972-6261
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 6637171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist