BRIAN LIYANTO

ARCADIA, CA
NPI1063867711
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: CA  A143981)
Enumeration Date2016-05-02
Last Update Date2025-09-30
Business Address
BRIAN LIYANTO
300 W HUNTINGTON DR
ARCADIA, CA 91007-3402
Phone number: 626-574-3540
Mailing Address
BRIAN LIYANTO
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 626-574-3540
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