Provider Demographics
NPI:1770573941
Name:LI, JOSEPH YIU-CHO (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:YIU-CHO
Last Name:LI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:YIU-CHO
Other - Middle Name:JOSEPH
Other - Last Name:LI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:10 CONGRESS ST
Mailing Address - Street 2:STE 403
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-3023
Mailing Address - Country:US
Mailing Address - Phone:626-577-8058
Mailing Address - Fax:626-440-9976
Practice Address - Street 1:10 CONGRESS ST
Practice Address - Street 2:SUITE 403
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-3023
Practice Address - Country:US
Practice Address - Phone:626-577-5058
Practice Address - Fax:626-440-9976
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-27
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG40118207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G401180Medicaid
CA00G401181Medicaid
CAG40118Medicare ID - Type Unspecified
CA00G401181Medicaid