Organization
GUODONG LI M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUODONG LI MD & PHD (PRESIDENT)
(310) 279-0711
Entity
Organization
Contact information
Practice address
130 S HAMEL DR, BEVERLY HILLS, CA 90211-2807
(310) 745-0393
Mailing address
PO BOX 5486, ORANGE, CA 92863-5486
(818) 550-0900
(818) 550-0900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LA0401X
Addiction Medicine (Anesthesiology) Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
10/18/2019
Last updated
05/19/2020
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