Healthcare Provider Details

I. General information

NPI: 1972609063
Provider Name (Legal Business Name): DAVID HOP LI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 GREAT OAKS BLVD
SAN JOSE CA
95119-1310
US

IV. Provider business mailing address

10185 JEAN ELLEN CT
GILROY CA
95020-9442
US

V. Phone/Fax

Practice location:
  • Phone: 408-363-3000
  • Fax: 408-363-3088
Mailing address:
  • Phone: 408-846-9345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QV0200X
TaxonomyVA Clinic/Center
License NumberG76500
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: