Provider Demographics
NPI:1659409456
Name:WU, ALICEA XIAOYAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ALICEA
Middle Name:XIAOYAN
Last Name:WU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ALICEA
Other - Middle Name:XIAOYAN
Other - Last Name:WEI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:333 LAKESIDE DR
Mailing Address - Street 2:
Mailing Address - City:FOSTER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94404-1147
Mailing Address - Country:US
Mailing Address - Phone:650-574-3000
Mailing Address - Fax:
Practice Address - Street 1:333 LAKESIDE DR
Practice Address - Street 2:
Practice Address - City:FOSTER CITY
Practice Address - State:CA
Practice Address - Zip Code:94404-1147
Practice Address - Country:US
Practice Address - Phone:650-574-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA96542207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine