Individual
JICHANG LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
438 W LAS TUNAS DR, SAN GABRIEL, CA 91776-1216
(626) 289-5454
Mailing address
PO BOX 5486, ORANGE, CA 92863-5486
(818) 550-0900
(818) 550-0909
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A102566
CA
Other
Enumeration date
08/13/2007
Last updated
06/25/2010
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