Organization
DR. MIKE LI OPTOMETRY INC
Active
Other names
Dr. Mike Li Optometry INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DR MIKE LI (OPTOMETRIST)
(951) 656-7218
Entity
Organization
Contact information
Practice address
6250 VALLEY SPRINGS PKWY, RIVERSIDE, CA 92507-0970
(951) 656-7218
Mailing address
23811 WASHINGTON AVE STE C110, MURRIETA, CA 92562-2277
(951) 656-7218
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689777138
OPTOMETRIST
CA
Enumeration date
05/09/2019
Last updated
05/09/2019
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