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Individual

JASON JIAJIE LI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
675 18TH ST, SAN FRANCISCO, CA 94143-4200
(415) 476-7000
Mailing address
675 18TH ST, SAN FRANCISCO, CA 94143-4200
(415) 683-9026

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
12164
CA
2084P0800X
Psychiatry Physician
Primary
A197616
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A197616
LICENSE
CA
Enumeration date
04/06/2023
Last updated
04/29/2026
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