Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | A141496 | CA |
N | 207QA0401X | Family Doctor - Addiction Medicine | A141496 | CA |
N | 207QA0505X | Family Doctor - Adult Medicine | A141496 | CA |
N | 207QG0300X | Family Doctor - Geriatric Medicine | A141496 | CA |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | A141496 | CA |
N | 207QS0010X | Family Doctor - Sports Medicine | A141496 | CA |
NPI | 1184063240 |
---|---|
Provider Name | Dr. Liana Milanes |
First Address | Fresno, CA 93721-1431 |
Second Address | Fresno, CA 93721-1324 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2013 |
Last Update Date | 16/01/2020 |