Provider Demographics
NPI:1770792053
Name:FU, LI (LAC, PHD)
Entity type:Individual
Prefix:DR
First Name:LI
Middle Name:
Last Name:FU
Suffix:
Gender:M
Credentials:LAC, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 ROCKVIEW
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-3230
Mailing Address - Country:US
Mailing Address - Phone:626-922-8499
Mailing Address - Fax:
Practice Address - Street 1:210 ROCKVIEW
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-3230
Practice Address - Country:US
Practice Address - Phone:626-922-8499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11697171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist