Organization
EVELYN E. LI, M.D., A PROFESSIONAL CORPORATION
Active
Organization
EVELYN E. LI, M.D., A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVELYN EVANS LI M.D. (PRESIDENT)
(510) 770-1300
Entity
Organization
Contact information
Practice address
27206 CALAROGA AVE, SUITE 120, HAYWARD, CA 94545-4300
(510) 770-1300
(510) 770-9570
Mailing address
PO BOX 14858, FREMONT, CA 94539-1858
(510) 770-1865
(510) 770-9570
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G48660
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G486600
—
CA
Enumeration date
03/13/2007
Last updated
06/04/2012
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