Healthcare Provider Details

I. General information

NPI: 1801704994
Provider Name (Legal Business Name): DR. FANGYU LI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DR. ZIJIN AURELIA

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

441 DE GUIGNE DR STE 201
SUNNYVALE CA
94085-3875
US

IV. Provider business mailing address

667 LYTTON AVE STE 8
PALO ALTO CA
94301-1335
US

V. Phone/Fax

Practice location:
  • Phone: 669-208-8872
  • Fax:
Mailing address:
  • Phone: 206-218-7046
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC20366
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: