Individual
DR. MARK W. LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2440 S HACIENDA BLVD STE 105, HACIENDA HTS, CA 91745-4763
(626) 330-6003
(626) 330-8474
Mailing address
2440 S HACIENDA BLVD STE 105, HACIENDA HTS, CA 91745-4763
(626) 330-6003
(626) 330-8474
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G44985
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G449850
—
CA
Enumeration date
07/10/2006
Last updated
05/24/2019
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