Healthcare Provider Details

I. General information

NPI: 1144753898
Provider Name (Legal Business Name): ALEXANDER LI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2017
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

770 WELCH RD ATTN: ALEXANDER LI, PLASTIC SURGERY
PALO ALTO CA
94304-1511
US

IV. Provider business mailing address

770 WELCH RD ATTN: ALEXANDER LI, PLASTIC SURGERY
PALO ALTO CA
94304-1511
US

V. Phone/Fax

Practice location:
  • Phone: 650-723-5824
  • Fax:
Mailing address:
  • Phone: 650-723-5824
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberA158191
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: