Individual provider · Type 1 NPI

Jim Liao, PA

Surgical Physician Assistant · Los Angeles, CA

NPI number 1023033552 Active

Practice location

300 Medical Plz, Ste 400
Los Angeles, CA 90095-0001

Call (310) 825-5111 Map

Mailing address

5767 W Century Blvd, Suite 400
Los Angeles, CA 90045-5631

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA16667 (CA)
Surgery Physician 208600000XPA16667 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1023033552

Jim Liao, PA's National Provider Identifier is 1023033552, issued on Jul 13, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 26, 2010.