Active NPI
Shou Duan Liang
- Acupuncturist
- Monterey Park, CA
National Provider Identifier
1902963077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC3633
- Practice address
- 423 Avondale Ave
Monterey Park, CA 91754-1610 - Phone
- (626) 288-6238
- Fax
- (626) 280-3679
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC3633 | CA | Primary |
Addresses
Primary practice location
423 Avondale Ave
Monterey Park, CA 91754-1610
Mailing address
423 Avondale Ave
Monterey Park, CA 91754-1610
Phone (626) 288-6238
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC3633 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC3633 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1902963077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 AVONDALE AVE",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917541610",
"telephone_number": "626-288-6238",
"fax_number": "626-280-3679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 AVONDALE AVE",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917541610",
"telephone_number": "626-288-6238",
"fax_number": "626-280-3679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIANG",
"first_name": "SHOU DUAN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC3633",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AC3633",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monterey Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.