Basic Information
| Provider Information | |||||||||
| NPI: | 1891226304 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LI | ||||||||
| FirstName: | ANNA | ||||||||
| MiddleName: | YAO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1982 W BAYSHORE RD APT 230 | ||||||||
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| City: | EAST PALO ALTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 943035204 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2253628364 | ||||||||
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| Practice Location | |||||||||
| Address1: | 300 PASTEUR DR STE H1330 | ||||||||
| Address2: | |||||||||
| City: | STANFORD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 943052200 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6507237816 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/26/2017 | ||||||||
| LastUpdateDate: | 05/18/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/18/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | A157070 | CA | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
No ID Information.