Individual
EVELYN EVENS LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
46356 WARM SPRINGS BLVD, 872, FREMONT, CA 94539-7021
(510) 770-1300
(510) 573-4811
Mailing address
PO BOX 14858, FREMONT, CA 94539
(510) 770-1300
(510) 573-4811
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G48660
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G486600
—
CA
Enumeration date
08/14/2006
Last updated
12/02/2016
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