Provider Demographics
NPI:1811501539
Name:LIANG, RUNXIN (PHARMD)
Entity type:Individual
Prefix:
First Name:RUNXIN
Middle Name:
Last Name:LIANG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2099 TEMPLE AVE APT 8
Mailing Address - Street 2:
Mailing Address - City:SIGNAL HILL
Mailing Address - State:CA
Mailing Address - Zip Code:90755-1083
Mailing Address - Country:US
Mailing Address - Phone:714-310-3287
Mailing Address - Fax:
Practice Address - Street 1:2099 TEMPLE AVE APT 8
Practice Address - Street 2:
Practice Address - City:SIGNAL HILL
Practice Address - State:CA
Practice Address - Zip Code:90755-1083
Practice Address - Country:US
Practice Address - Phone:714-310-3287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-01
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA83107183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist