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NPI Code Detail

MEDICARE: AMY LI M.D.

MEDICARE: AMY LI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician4301110032MI
2390200000XStudent in an Organized Health Care Education/Training Program
3208600000XSurgery PhysicianA166438CA

General Provider Information

NPI Number : 1538521786
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY LI M.D.
Provider Business Mailing Address
First Line : 3800 W CHAPMAN AVE STE 6200
Second Line :
City : ORANGE
State : CA
Zip : 92868-1640
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3800 W CHAPMAN AVE STE 6200
Second Line :
City : ORANGE
State : CA
Zip : 92868-1640
Country : US
Telephone Number : 714-509-2742
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2016
Last Update Date : 08/01/2023

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