Organization
CONNIE J LI MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE J LI M.D. (PRESIDENT / CEO)
(909) 499-6588
Entity
Organization
Contact information
Practice address
22542 LARK SPRING TER, DIAMOND BAR, CA 91765-2956
(909) 499-6588
Mailing address
22542 LARK SPRING TER, DIAMOND BAR, CA 91765-2956
(909) 499-6588
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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