| Thomas Lian Md Apc | |
|
4077 Fifth Ave San Diego CA 92103-2105 | |
| (619) 220-8114 | |
| (877) 253-9831 |
| Full Name | Thomas Lian Md Apc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4077 Fifth Ave, San Diego, California |
| Authorized Official Name and Position | Thomas C Lian (OWNER) |
| Authorized Official Contact | 6192208114 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Lian Md Apc Po Box 9268 Rancho Santa Fe CA 92067-4268 Ph: (619) 220-8114 | Thomas Lian Md Apc 4077 Fifth Ave San Diego CA 92103-2105 Ph: (619) 220-8114 |
| NPI Number | 1871712349 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 08/16/2020 |
| Certification Date | 08/16/2020 |
| Medicare PECOS PAC ID | 0345221867 |
|---|---|
| Medicare Enrollment ID | O20040528000867 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871712349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | G60506 (California) | Primary |
| Provider Name | Thomas C Lian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770594616 PECOS PAC ID: 1951382472 Enrollment ID: I20040601001326 |
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