Basic Information
| Provider Information | |||||||||
| NPI: | 1346623550 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LIAO | ||||||||
| FirstName: | HUNG-I | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 15090 | ||||||||
| Address2: | |||||||||
| City: | ANAHEIM | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928035090 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7145772124 | ||||||||
| FaxNumber: | 7145772125 | ||||||||
| Practice Location | |||||||||
| Address1: | 1211 W LA PALMA AVE STE 709 | ||||||||
| Address2: | |||||||||
| City: | ANAHEIM | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928012814 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6576577177 | ||||||||
| FaxNumber: | 7147722321 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2015 | ||||||||
| LastUpdateDate: | 04/26/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 04/26/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 036.146307 | IL | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | A156056 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 036-146307 | IL | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RC0200X | A156056 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 207RC0200X | 036-146307 | IL | N | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 207RP1001X | 036-146307 | IL | N | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease | 208M00000X | A156056 | CA | N | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | 036.146307 | IL | N | Allopathic & Osteopathic Physicians | Hospitalist | 207RP1001X | A156056 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
ID Information
| ID | Type | State | Issuer | Description | A156056 | 01 | CA | MEDICAL LICENSE | OTHER |