Provider Demographics
NPI:1669460341
Name:LI, ANNA CHUN YIENG (AC)
Entity Type:Individual
Prefix:MS
First Name:ANNA
Middle Name:CHUN YIENG
Last Name:LI
Suffix:
Gender:F
Credentials:AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1121 NUUANU AVE
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-5116
Mailing Address - Country:US
Mailing Address - Phone:808-537-1133
Mailing Address - Fax:808-537-1133
Practice Address - Street 1:1121 NUUANU AVE
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-5116
Practice Address - Country:US
Practice Address - Phone:808-537-1133
Practice Address - Fax:808-537-1133
Is Sole Proprietor?:No
Enumeration Date:2005-10-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIACU353171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist