Individual
XIN LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2001 DWIGHT WAY, BERKELEY, CA 94704-2608
(925) 786-9693
(510) 204-6440
Mailing address
2001 DWIGHT WAY, BERKELEY, CA 94704-2608
(925) 786-9693
(510) 204-6440
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
A134896
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N/A
MEDICARE
MA
01
—
N/A
MEDICARE
MD
05
—
N/A
—
MD
Enumeration date
02/10/2012
Last updated
10/10/2018
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