Provider Demographics
NPI:1720696404
Name:LIANG, SOPHIA TING-JAN
Entity Type:Individual
Prefix:
First Name:SOPHIA
Middle Name:TING-JAN
Last Name:LIANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 S. LOS ROBLES AVE.
Mailing Address - Street 2:KAISER PERMANENTE BERNARD J. TYSON SCHOOL OF MEDICINE
Mailing Address - City:PASDENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101
Mailing Address - Country:US
Mailing Address - Phone:888-576-3348
Mailing Address - Fax:
Practice Address - Street 1:98 S. LOS ROBLES AVE.
Practice Address - Street 2:KAISER PERMANENTE BERNARD J. TYSON SCHOOL OF MEDICINE
Practice Address - City:PASDENA
Practice Address - State:CA
Practice Address - Zip Code:91101
Practice Address - Country:US
Practice Address - Phone:888-576-3348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-17
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program