Individual
DOUGLAS LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1260 15TH ST STE 1024, SANTA MONICA, CA 90404-1145
(310) 825-0867
(424) 259-8571
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A108116
CA
2080P0214X
Pediatric Pulmonology Physician
A108116
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A1081160
—
CA
Enumeration date
03/16/2010
Last updated
01/24/2020
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