Healthcare Provider Details

I. General information

NPI: 1750452272
Provider Name (Legal Business Name): DR. WHITNEY LIAO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1398 W EL CAMINO REAL
MOUNTAIN VIEW CA
94040-2430
US

IV. Provider business mailing address

1398 W EL CAMINO REAL
MOUNTAIN VIEW CA
94040-2430
US

V. Phone/Fax

Practice location:
  • Phone: 650-938-0998
  • Fax: 650-938-2189
Mailing address:
  • Phone: 650-938-0998
  • Fax: 650-938-2189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: