Provider Demographics
NPI:1497825509
Name:LI, RUI (ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:RUI
Middle Name:
Last Name:LI
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 W OLIVE AVE STE 209
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-7660
Mailing Address - Country:US
Mailing Address - Phone:408-730-9636
Mailing Address - Fax:408-730-9085
Practice Address - Street 1:355 W OLIVE AVE STE 209
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086-7660
Practice Address - Country:US
Practice Address - Phone:408-730-9636
Practice Address - Fax:408-730-9085
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALAC8153171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist