Individual
DIANE LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 VON KARMAN AVE STE 102, NEWPORT BEACH, CA 92660-2194
(949) 743-1457
Mailing address
836 LA SOLANA DR, REDLANDS, CA 92373-7605
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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