Provider Demographics
NPI:1780618322
Name:LIANG, JAMES ZHEN ZHI (DO)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:ZHEN ZHI
Last Name:LIANG
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1416 35TH AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94601-3511
Mailing Address - Country:US
Mailing Address - Phone:510-479-1313
Mailing Address - Fax:510-500-3070
Practice Address - Street 1:1416 35TH AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94601-3511
Practice Address - Country:US
Practice Address - Phone:510-479-1313
Practice Address - Fax:510-500-3070
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A7592207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA020A75920Medicare ID - Type UnspecifiedMEDICARE
CAH84686Medicare UPIN