Individual
JASMINE IRIS LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17271 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708-3701
(972) 854-8765
Mailing address
850 W TOWN AND COUNTRY RD UNIT 368, ORANGE, CA 92868-5655
(972) 854-8765
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
07/13/2022
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