Provider Demographics
NPI:1316588148
Name:LI, SIYU (PA-C)
Entity type:Individual
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First Name:SIYU
Middle Name:
Last Name:LI
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:19742 MACARTHUR BLVD STE 250
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-2488
Mailing Address - Country:US
Mailing Address - Phone:714-503-6550
Mailing Address - Fax:714-409-3075
Practice Address - Street 1:19742 MACARTHUR BLVD STE 250
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-2488
Practice Address - Country:US
Practice Address - Phone:714-503-6550
Practice Address - Fax:714-409-3075
Is Sole Proprietor?:No
Enumeration Date:2019-10-02
Last Update Date:2024-06-10
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant