Individual
CHUN WAI LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
26520 CACTUS AVE, ANESTHESIA DEPARTMENT, MORENO VALLEY, CA 92555
(949) 690-6479
Mailing address
11875 PIGEON PASS RD # B13-316, MORENO VALLEY, CA 92557-6039
(949) 690-6479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95027024
CA
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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