Provider Demographics
NPI:1730509852
Name:LI, BETTY (MD)
Entity type:Individual
Prefix:
First Name:BETTY
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 1:5190 NEIL RD
Mailing Address - Street 2:SUITE 216
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-6599
Mailing Address - Country:US
Mailing Address - Phone:775-682-8469
Mailing Address - Fax:
Practice Address - Street 1:2351 CLAY ST
Practice Address - Street 2:SUITE 380
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-1931
Practice Address - Country:US
Practice Address - Phone:415-600-3954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-16
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program