Provider Demographics
NPI:1861750507
Name:LI, DAVID ZHI HAO (DO)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:ZHI HAO
Last Name:LI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:350 POTRERO AVE
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94085-4116
Mailing Address - Country:US
Mailing Address - Phone:888-926-9385
Mailing Address - Fax:408-716-2762
Practice Address - Street 1:350 POTRERO AVE
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-4116
Practice Address - Country:US
Practice Address - Phone:888-926-9385
Practice Address - Fax:408-716-2762
Is Sole Proprietor?:No
Enumeration Date:2012-05-01
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A14459207QS0010X
390200000X
NY271358207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine