Provider Demographics
NPI:1265960108
Name:LI, YUEHUA (MD)
Entity type:Individual
Prefix:
First Name:YUEHUA
Middle Name:
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 1:13055 LA VISTA DR
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-4444
Mailing Address - Country:US
Mailing Address - Phone:408-529-8298
Mailing Address - Fax:
Practice Address - Street 1:10430 S DE ANZA BLVD STE 110
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-3024
Practice Address - Country:US
Practice Address - Phone:408-529-8298
Practice Address - Fax:832-321-2985
Is Sole Proprietor?:No
Enumeration Date:2017-05-23
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV20032208M00000X
CAA164863207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist