Provider Demographics
NPI:1932737566
Name:LI, ALICE HUAI-YU
Entity Type:Individual
Prefix:
First Name:ALICE
Middle Name:HUAI-YU
Last Name:LI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1531 RANCHO HILLS DR
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-6247
Mailing Address - Country:US
Mailing Address - Phone:909-248-8258
Mailing Address - Fax:
Practice Address - Street 1:1531 RANCHO HILLS DR
Practice Address - Street 2:
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-6247
Practice Address - Country:US
Practice Address - Phone:909-248-8258
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-30
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program