Provider Demographics
NPI:1528186772
Name:LI, SHU PING (DAOM, LAC)
Entity Type:Individual
Prefix:DR
First Name:SHU
Middle Name:PING
Last Name:LI
Suffix:
Gender:F
Credentials:DAOM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 LOMA VISTA RD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-3033
Mailing Address - Country:US
Mailing Address - Phone:805-676-1777
Mailing Address - Fax:805-676-1888
Practice Address - Street 1:3400 LOMA VISTA RD
Practice Address - Street 2:SUITE 7
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-3033
Practice Address - Country:US
Practice Address - Phone:805-676-1777
Practice Address - Fax:805-676-1888
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC7444171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist