Provider Demographics
NPI:1295999563
Name:YE, LI (DDS/DMD)
Entity type:Individual
Prefix:
First Name:LI
Middle Name:
Last Name:YE
Suffix:
Gender:F
Credentials:DDS/DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3044 S HACIENDA BLVD
Mailing Address - Street 2:
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-5300
Mailing Address - Country:US
Mailing Address - Phone:626-333-9088
Mailing Address - Fax:
Practice Address - Street 1:3044 S HACIENDA BLVD
Practice Address - Street 2:
Practice Address - City:HACIENDA HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91745-5300
Practice Address - Country:US
Practice Address - Phone:626-333-9088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-15
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA425171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice