Healthcare Provider Details

I. General information

NPI: 1619822426
Provider Name (Legal Business Name): CHRISTOPHER D. LIAO MD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9900 TALBERT AVE STE 101
FOUNTAIN VALLEY CA
92708-5153
US

IV. Provider business mailing address

9900 TALBERT AVE STE 101
FOUNTAIN VALLEY CA
92708-5153
US

V. Phone/Fax

Practice location:
  • Phone: 949-565-4891
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER DAVID LIAO
Title or Position: SURGEON
Credential: MD
Phone: 949-565-4891