Healthcare Provider Details

I. General information

NPI: 1437972205
Provider Name (Legal Business Name): DR WAI-YEE LI, A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2024
Last Update Date: 01/30/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

624 W DUARTE RD STE 101
ARCADIA CA
91007-9257
US

IV. Provider business mailing address

530 SOUTH LAKE AVENUE, STE 530
PASADENA CA
91101-3515
US

V. Phone/Fax

Practice location:
  • Phone: 626-888-9728
  • Fax: 626-445-2738
Mailing address:
  • Phone: 626-888-9728
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WAI-YEE LI
Title or Position: CEO
Credential: MD PHD
Phone: 626-888-9728