Individual
RICHARD JAY LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12401 WASHINGTON BLVD, WHITTIER, CA 90602-1006
(562) 698-0811
Mailing address
2511 VALENTANO DR, DUBLIN, CA 94568-3243
(925) 858-1766
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
268074
MA
2085R0001X
Radiation Oncology Physician
Primary
A151481
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
268074
LIMITED LICENSE
MA
Enumeration date
06/15/2016
Last updated
05/25/2021
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