MEDICARE: MING CHARLES LI MD

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
1	207RH0003X	Hematology & Oncology Physician	A127280	CA

General Provider Information

NPI Number	:	1770843054
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MING CHARLES LI MD

Provider Business Mailing Address
First Line	:	26691 PLAZA STE 200
Second Line	:
City	:	MISSION VIEJO
State	:	CA
Zip	:	92691-8582
Country	:	US
Telephone Number	:	949-347-0600
Fax Number	:	949-347-0746

Provider Business Practice Location Address
First Line	:	26691 PLAZA STE 200
Second Line	:
City	:	MISSION VIEJO
State	:	CA
Zip	:	92691-8582
Country	:	US
Telephone Number	:	949-347-0600
Fax Number	:	949-347-0746

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2012
Last Update Date	:	11/05/2021

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Directions to “ MING CHARLES LI MD” Practice Location

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