Healthcare Provider Details

I. General information

NPI: 1821933235
Provider Name (Legal Business Name): ANGELA SIYING LI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 N NICHOLSON AVE APT B
MONTEREY PARK CA
91755-2321
US

IV. Provider business mailing address

505 N NICHOLSON AVE APT B
MONTEREY PARK CA
91755-2321
US

V. Phone/Fax

Practice location:
  • Phone: 626-233-7951
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95029410
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: