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General NPI Number Information
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NPI Number | 1679829634
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Entity Type | Individual
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Provider Name | LUKE LI M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/27/2012
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 1170 BORDEAUX DR
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City | SUNNYVALE
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State | CA
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Zip | 94089-1209
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Country | US
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Telephone | 888-926-9385
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 60002
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City | PALO ALTO
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State | CA
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Zip | 94306-0002
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 333618
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA12463900
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | C198953
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License Number State | CA
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