Healthcare Provider Details

I. General information

NPI: 1396709325
Provider Name (Legal Business Name): NANCY CHIU-YUEH LI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 01/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1411 E 31ST ST ALAMEDA COUNTY MEDICAL CENTER, HIGHLAND CAMPUS
OAKLAND CA
94602-1018
US

IV. Provider business mailing address

1411 E 31ST ST ALAMEDA COUNTY MEDICAL CENTER, HIGHLAND CAMPUS
OAKLAND CA
94602-1018
US

V. Phone/Fax

Practice location:
  • Phone: 510-437-8491
  • Fax:
Mailing address:
  • Phone: 510-437-8491
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZC0500X
TaxonomyCytopathology Physician
License NumberG70265
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberG70265
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: