Vivian Petra Liao, | |
2315 Stockton Blvd, Sacramento, CA 95817-2201 | |
(916) 734-7041 | |
Not Available |
Full Name | Vivian Petra Liao |
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Gender | Female |
Speciality | Preventive Medicine - Occupational Medicine |
Location | 2315 Stockton Blvd, Sacramento, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386080356 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | A131922 (California) | Secondary |
2083X0100X | Preventive Medicine - Occupational Medicine | A131922 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Vivian Petra Liao, 3460 E La Palma Ave, Anaheim, CA 92806-2020 Ph: (916) 734-7041 | Vivian Petra Liao, 2315 Stockton Blvd, Sacramento, CA 95817-2201 Ph: (916) 734-7041 |
John S. Agnew, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 3160 Folsom Blvd, Sacramento, CA 95816 Phone: 916-733-5336 Fax: 916-733-5385 | |
Dr. Scott Dodd Anderson, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 9261 Folsom Blvd Ste 200, Sacramento, CA 95826 Phone: 916-364-1733 Fax: 916-364-5255 | |
Craig A. Robertson, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2025 Morse Ave, Sacramento, CA 95825 Phone: 916-973-5000 | |
Dr. Richard Kuo-pin Sun, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1809 S St, Suite 101-157, Sacramento, CA 95811 Phone: 916-555-1212 | |
Michael R. Bugola, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2025 Morse Ave, Sacramento, CA 95825 Phone: 916-973-5000 | |
Ms. Beatriz Aurora Olmedo, Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 8401 Center Pkwy, Sacramento, CA 95823 Phone: 530-650-2711 | |
Melissa Siebenthal, R.N. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 9616 Micron Ave, Suite 950, Sacramento, CA 95827 Phone: 916-875-0900 |