Individual
VICTOR LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3143 PAUL SWEET RD, SANTA CRUZ, CA 95065-1521
(831) 464-7246
(831) 464-7744
Mailing address
3143 PAUL SWEET RD, SANTA CRUZ, CA 95065-1521
(831) 464-7246
(831) 464-7744
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A77617
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A776170
BLUE SHIELD
CA
05
—
00A776170
—
CA
01
—
A77617
BLUE CROSS
CA
Enumeration date
10/19/2006
Last updated
07/08/2007
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