Provider Demographics
NPI:1831162593
Name:LIAN, GEORGE JOHN (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:JOHN
Last Name:LIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2801 K ST
Mailing Address - Street 2:#500
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-5120
Mailing Address - Country:US
Mailing Address - Phone:916-733-8710
Mailing Address - Fax:916-733-8707
Practice Address - Street 1:2801 K ST
Practice Address - Street 2:#500
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5120
Practice Address - Country:US
Practice Address - Phone:916-733-8710
Practice Address - Fax:916-733-8707
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-10
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG053716207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G537160Medicaid
CAE02740Medicare UPIN
CA00G537160Medicaid