# LI POA M.D. INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295007938
- **Authorized official:** DR. LI POA M.D. (PRESIDENT)
- **Authorized official phone:** (310) 854-3566

## Contact information

- **Practice address:** 20911 EARL ST STE 245, TORRANCE, CA 90503-4355
- **Practice address phone:** (310) 303-5063
- **Practice address fax:** (310) 371-5351
- **Mailing address:** 8635 W 3RD ST, STE 865W, LOS ANGELES, CA 90048-6101
- **Mailing address phone:** (310) 854-3566
- **Mailing address fax:** (310) 427-6763

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | G76922 | CA | Yes |

## Other

- **Enumeration date:** 01/26/2012
- **Last updated:** 12/28/2018