Individual
HONG LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7373 WEST LN, STOCKTON, CA 95210-3377
(209) 476-5989
Mailing address
7373 WEST LN, STOCKTON, CA 95210-3377
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
A82023
CA
207ZD0900X
Dermatopathology (Pathology) Physician
A82023
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A82023
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220005805
RAILROAD
CA
01
—
A82023
LICENSE
CA
Enumeration date
09/29/2005
Last updated
12/09/2021
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