Healthcare Provider Details

I. General information

NPI: 1548193469
Provider Name (Legal Business Name): CALVIN K. LI DDS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2311 W VALLEY BLVD
ALHAMBRA CA
91803-1931
US

IV. Provider business mailing address

2311 W VALLEY BLVD
ALHAMBRA CA
91803-1931
US

V. Phone/Fax

Practice location:
  • Phone: 626-348-1725
  • Fax:
Mailing address:
  • Phone: 626-348-1725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: MR. CALVIN KA YIU LI
Title or Position: PRESIDENT
Credential: DDS
Phone: 626-348-1725