Provider Demographics
NPI:1467729384
Name:LI, YUXIN (MD, PHD)
Entity Type:Individual
Prefix:
First Name:YUXIN
Middle Name:
Last Name:LI
Suffix:
Gender:M
Credentials:MD, PHD
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3300 SAWTELLE BLVD
Mailing Address - Street 2:APT 209
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-1620
Mailing Address - Country:US
Mailing Address - Phone:310-986-2010
Mailing Address - Fax:
Practice Address - Street 1:11301 WILSHIRE BLVD
Practice Address - Street 2:BUIDING 500, DEPT OF NUCLEAR MEDICINE
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90073-1003
Practice Address - Country:US
Practice Address - Phone:310-268-3583
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-21
Last Update Date:2021-11-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA 117310207U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine