Provider Demographics
NPI:1487138046
Name:LI, YONGMEI (DO)
Entity type:Individual
Prefix:
First Name:YONGMEI
Middle Name:
Last Name:LI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1788 SIERRA LEONE AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-5889
Mailing Address - Country:US
Mailing Address - Phone:626-581-4929
Mailing Address - Fax:
Practice Address - Street 1:1788 SIERRA LEONE AVE STE 103
Practice Address - Street 2:
Practice Address - City:ROWLAND HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91748-5889
Practice Address - Country:US
Practice Address - Phone:626-581-4929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-19
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18090171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAEINOtherACCUPANTURE