Organization
ASIAN MEDICAL CLINIC FREMONT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVELYN E LI M.D. (PRESIDENT)
(510) 770-1300
Entity
Organization
Contact information
Practice address
46356 WARM SPRINGS BLVD, SUITE 872, FREMONT, CA 94539-7021
(510) 770-1300
Mailing address
PO BOX 14858, FREMONT, CA 94539-1858
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G44210
CA
207R00000X
Internal Medicine Physician
Primary
A76340
CA
207RC0000X
Cardiovascular Disease Physician
G48660
CA
208D00000X
General Practice Physician
C41936
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
C28271
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0098780
—
CA
Enumeration date
02/05/2007
Last updated
05/24/2013
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