Sophia Ting-Jan Liang

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Pasdena, CA

NPI 1720696404 · NPPES record last updated Jul 17, 2020

Key facts

NPI
1720696404
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
98 S. Los Robles Ave.
Kaiser Permanente Bernard J. Tyson School of Medicine
Pasdena, CA 91101
Phone
(888) 576-3348
NPI assigned
Jul 17, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

98 S. Los Robles Ave.
Kaiser Permanente Bernard J. Tyson School of Medicine
Pasdena, CA 91101

Mailing address

98 S. Los Robles Ave.
Kaiser Permanente Bernard J. Tyson School of Medicine
Pasdena, CA 91101
Phone (888) 576-3348

Sources for this page

Verify at the official NPI Registry.