Provider Demographics
NPI:1144455049
Name:LIFANG LIANG ACUPUNCTURE & HERBAL MEDICINE CLINIC
Entity type:Organization
Organization Name:LIFANG LIANG ACUPUNCTURE & HERBAL MEDICINE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LIFANG
Authorized Official - Middle Name:
Authorized Official - Last Name:LIANG
Authorized Official - Suffix:
Authorized Official - Credentials:OMD, L AC
Authorized Official - Phone:415-834-1612
Mailing Address - Street 1:450 SUTTER ST RM 1708
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-4101
Mailing Address - Country:US
Mailing Address - Phone:415-834-1612
Mailing Address - Fax:415-834-1639
Practice Address - Street 1:450 SUTTER ST RM 1708
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-4101
Practice Address - Country:US
Practice Address - Phone:415-834-1612
Practice Address - Fax:415-834-1639
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:W & F ACUPUNCTURE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-05-20
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC3866261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center