Provider Demographics
NPI:1780030478
Name:LI, ERIC YU KIT (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:YU KIT
Last Name:LI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3059 RUBY AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95135-1156
Mailing Address - Country:US
Mailing Address - Phone:408-680-1793
Mailing Address - Fax:
Practice Address - Street 1:1408 CAMDEN AVE
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-6704
Practice Address - Country:US
Practice Address - Phone:408-883-7943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-11
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43011088742086S0122X
CAA1498602086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery