Provider Demographics
NPI:1720141625
Name:LIANG, LIFANG (OMD, PHD, LAC)
Entity Type:Individual
Prefix:DR
First Name:LIFANG
Middle Name:
Last Name:LIANG
Suffix:
Gender:F
Credentials:OMD, PHD, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 SUTTER ST
Mailing Address - Street 2:SUITE 1708
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-4206
Mailing Address - Country:US
Mailing Address - Phone:415-834-1612
Mailing Address - Fax:415-834-1639
Practice Address - Street 1:450 SUTTER ST
Practice Address - Street 2:SUITE 1708
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-4206
Practice Address - Country:US
Practice Address - Phone:415-834-1612
Practice Address - Fax:415-834-1639
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC3866171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist