Healthcare Provider Details

I. General information

NPI: 1407796030
Provider Name (Legal Business Name): LI PSYCHIATRIC GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 PRECITA AVE
SAN FRANCISCO CA
94110-4619
US

IV. Provider business mailing address

14 PRECITA AVE
SAN FRANCISCO CA
94110-4619
US

V. Phone/Fax

Practice location:
  • Phone: 415-501-0818
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: YINGCHUAN LI
Title or Position: OWNER
Credential:
Phone: 415-501-0818