Individual
ALLEN LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3161 L ST, SACRAMENTO, CA 95816-5234
(916) 878-3495
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20A17033
CA
2085R0202X
Diagnostic Radiology Physician
5101020930
MI
2085R0202X
Diagnostic Radiology Physician
5315064323
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2014
Last updated
06/08/2020
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