Healthcare Provider Details

I. General information

NPI: 1366851073
Provider Name (Legal Business Name): MANKIT LI PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MANKIT LEI

II. Dates (important events)

Enumeration Date: 08/06/2014
Last Update Date: 02/01/2021
Certification Date: 01/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1038 POST ST
SAN FRANCISCO CA
94109-5603
US

IV. Provider business mailing address

1038 POST STREET
SAN FRANCISCO CA
94109
US

V. Phone/Fax

Practice location:
  • Phone: 415-775-2636
  • Fax:
Mailing address:
  • Phone: 916-220-3930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number32354
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: