Individual
EDWARD LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16702 VALLEY VIEW AVE, LA MIRADA, CA 90638-5824
(714) 367-5390
Mailing address
16702 VALLEY VIEW AVE, LA MIRADA, CA 90638-5824
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
16643
NV
208100000X
Physical Medicine & Rehabilitation Physician
296210
NY
208100000X
Physical Medicine & Rehabilitation Physician
50924
AZ
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A158004
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699066795
—
NV
Enumeration date
04/22/2011
Last updated
03/25/2022
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