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Organization

RC LI HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FAQIAN LI (PRESIDENT)
(909) 520-7856
Entity
Organization

Contact information

Practice address
219 S RIVERSIDE AVE, STE 317, RIALTO, CA 92376-6455
(909) 520-7856
Mailing address
219 S RIVERSIDE AVE, STE 317, RIALTO, CA 92376-6455

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
CA

Other

Enumeration date
12/21/2009
Last updated
12/21/2009
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