NPI Code Detail JSON Logo

1104015486 NPI number — HO-YIN LI, MD, INC

NPI Number: 1104015486
Health Care Provider/Practitioner: HO-YIN LI, MD, INC

Information about “1104015486” NPI (HO-YIN LI, MD, INC) exists in 1104015486 in HTML format HTML  |  1104015486 in plain Text format TXT  |  1104015486 in PDF (Portable Document Format) PDF  |  1104015486 in an XML format XML  formats.

NPI Number : 1104015486 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104015486",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HO-YIN LI, MD, INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "237 ESTUDILLO AVE STE 203",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN LEANDRO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94577-4723",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "510-315-7196",
    "MailingAddressFaxNumber": "510-315-8715",
    "FirstLinePracticeLocationAddress": "237 ESTUDILLO AVE",
    "SecondLinePracticeLocationAddress": "SUITE 203",
    "PracticeLocationAddressCityName": "SAN LEANDRO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94577-4725",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "510-315-7196",
    "PracticeLocationAddressFaxNumber": "510-315-8715",
    "EnumerationDate": "10/23/2007",
    "LastUpdateDate": "07/06/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LI",
    "AuthorizedOfficialFirstName": "HO-YIN",
    "AuthorizedOfficialMiddleName": "ADRIAN",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D.",
    "AuthorizedOfficialTelephoneNumber": "415-525-0622",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207L00000X",
          "TaxonomyName": "Anesthesiology Physician",
          "LicenseNumber": "C50572",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207LC0200X",
          "TaxonomyName": "Critical Care Medicine (Anesthesiology) Physician",
          "LicenseNumber": "C50572",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207LP2900X",
          "TaxonomyName": "Pain Medicine (Anesthesiology) Physician",
          "LicenseNumber": "C50572",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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