Healthcare Provider Details

I. General information

NPI: 1538521786
Provider Name (Legal Business Name): AMY LI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2016
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 W CHAPMAN AVE STE 6200
ORANGE CA
92868-1640
US

IV. Provider business mailing address

3800 W CHAPMAN AVE STE 6200
ORANGE CA
92868-1640
US

V. Phone/Fax

Practice location:
  • Phone: 714-509-2742
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA166438
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberE-20215
License Number StateAR
# 4
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number4301110032
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: