Organization
LI POA M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LI POA M.D. (PRESIDENT)
(310) 854-3566
Entity
Organization
Contact information
Practice address
20911 EARL ST STE 245, TORRANCE, CA 90503-4355
(310) 303-5063
(310) 371-5351
Mailing address
8635 W 3RD ST, STE 865W, LOS ANGELES, CA 90048-6101
(310) 854-3566
(310) 427-6763
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G76922
CA
Other
Enumeration date
01/26/2012
Last updated
12/28/2018
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