NPI 1083126403

Gina M Liang

Practitioner Medical Physician Assistant West Covina, CA

Practice location

Address: 420 S Glendora Ave, West Covina, CA 91790-3001
Phone: (909) 620-8088
Mailing address: 4340 Florence Ave, Bell, CA 90201-3526

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X

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Registry record

NPI: 1083126403
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Oct 2017
Record last updated: 25 Oct 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.