Tim Yutian Li, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC4138 Issued in CA

Practice address

19720 Ventura Blvd
Suite D
Woodland Hills, CA 91364-2624

Phone

(818) 887-2528

Fax

(818) 887-1518

NPI assigned

May 31, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Yutian Li Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1407058761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19720 VENTURA BLVD",
            "address_2": "SUITE D",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642624",
            "telephone_number": "818-887-2528",
            "fax_number": "818-887-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19720 VENTURA BLVD",
            "address_2": "SUITE D",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642624",
            "telephone_number": "818-887-2528",
            "fax_number": "818-887-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "TIM",
        "middle_name": "YUTIAN",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC4138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AC0041380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YUTIAN",
            "last_name": "LI",
            "credential": "L.AC.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Acupuncturist in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.