Jenny Shaw Li, L.AC, PH.D
Individual provider Active NPI Acupuncturist · Lathrop, CA
NPI 1386762532 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1386762532
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- AC9158 (CA)
- Practice address
- 177 Darcy Pkwy
Lathrop, CA 95330-9222 - Phone
- (209) 858-5832
- NPI assigned
- Mar 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC9158 | CA | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC9158 | CA | Yes |
Addresses
Primary practice location
177 Darcy Pkwy
Lathrop, CA 95330-9222
Mailing address
177 Darcy Pkwy
Lathrop, CA 95330-9222
Phone (209) 858-5832
Other providers in Lathrop, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.