Provider Demographics
NPI:1699959890
Name:LIAO, WEI-HSUN (MD PHD)
Entity type:Individual
Prefix:DR
First Name:WEI-HSUN
Middle Name:
Last Name:LIAO
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:DR
Other - First Name:ALEXIA
Other - Middle Name:DANIELA
Other - Last Name:LEOW
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD PHD
Mailing Address - Street 1:2081 ARENA BLVD STE 160
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-2309
Mailing Address - Country:US
Mailing Address - Phone:916-285-8971
Mailing Address - Fax:916-285-0338
Practice Address - Street 1:2081 ARENA BLVD STE 160
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-2309
Practice Address - Country:US
Practice Address - Phone:916-285-8971
Practice Address - Fax:916-285-0338
Is Sole Proprietor?:No
Enumeration Date:2007-12-24
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1008182084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry