Provider Demographics
NPI:1619472438
Name:LI, YINGCHUAN (MD)
Entity type:Individual
Prefix:
First Name:YINGCHUAN
Middle Name:
Last Name:LI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5214F DIAMOND HEIGHTS BLVD # 3267
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94131-2175
Mailing Address - Country:US
Mailing Address - Phone:415-501-0818
Mailing Address - Fax:769-206-4754
Practice Address - Street 1:14 PRECITA AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-4619
Practice Address - Country:US
Practice Address - Phone:415-501-0818
Practice Address - Fax:769-206-4754
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-25
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAA1642412084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program