Provider Demographics
NPI:1811011638
Name:LI, CYNTHIA Y (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:Y
Last Name:LI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 POTRERO AVE # 4J
Mailing Address - Street 2:SFGH URGENT CARE
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-3518
Mailing Address - Country:US
Mailing Address - Phone:415-206-5830
Mailing Address - Fax:415-206-8054
Practice Address - Street 1:1001 POTRERO AVE # 4J
Practice Address - Street 2:SFGH URGENT CARE
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-3518
Practice Address - Country:US
Practice Address - Phone:415-206-5830
Practice Address - Fax:415-206-8054
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA72052207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
104463OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER
104463OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER