Organization
COORDINATED CARE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIT LI M.D. (PRESIDENT/SECRETARY/TREASURER)
(213) 427-4380
Entity
Organization
Contact information
Practice address
711 W COLLEGE ST, SUITE 388, LOS ANGELES, CA 90012-1163
(213) 437-4216
Mailing address
711 W COLLEGE ST, SUITE 203, LOS ANGELES, CA 90012-1163
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
208D00000X
General Practice Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
02/21/2017
Last updated
03/09/2017
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