Liao, Jeng-Jong
Liao, Jeng-Jong is an sole proprietor health care provider with primary practice located at 500 N Garfield Ave Ste 204 , Monterey Park CA 91754-1242. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Liao, Jeng-Jong can be contacted via phone (626) 280-4393.Contact Information
Primary practice address
500 N Garfield Ave Ste 204
Monterey Park CA 91754-1242
Phone: (626) 280-4393
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | C50014 | California |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | C50014 | California |
Profile Details
| NPI number | 1851442057 |
|---|---|
| LBN Legal business name | Liao, Jeng-Jong |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 15th, 2007 |
| Last updated | Apr 20th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851442057 | NPPES |
| California | MEDICAID | 00C500140 |
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