Alex Liao, DDS, Inc

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

45136 Issued in CA

Legal business name

ALEX LIAO, DDS, INC

Practice address

680 E Alosta Ave Ste 108
Azusa, CA 91702-2710

Phone

(626) 812-6612

Fax

(626) 812-6634

NPI assigned

Jun 4, 2007

Organization subpart

No

Name

Ms. Vikky Fung

Title

Public Relations

Phone

(626) 812-6612

• u smile dental office Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 14, 2007.

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1265634000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 E ALOSTA AVE #108",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "91702",
            "telephone_number": "626-812-6612",
            "fax_number": "626-812-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 E ALOSTA AVE STE 108",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022710",
            "telephone_number": "626-812-6612",
            "fax_number": "626-812-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX LIAO, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "FUNG",
        "authorized_official_first_name": "VIKKY",
        "authorized_official_title_or_position": "PUBLIC RELATIONS",
        "authorized_official_telephone_number": "626-812-6612",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "45136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTISTRY",
            "identifier": "45136",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "u smile dental office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alas Medical Clinic, Inc.
• Juan Lempira Alas
• Giselle Alba
• Arlene Alcaraz McLucas
• Isabelle Aleman
• Algos Inc., a Medical Corporation
• Algos Inc., a Medical Corporation
• Nitasha Allahabadi
• Dion Ally
• Alma Behavioral Solutions, Inc

• All providers in Azusa, CA
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.