DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KENNETH LI

MEDICARE: KENNETH LI
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
1152W00000XOptometrist34945CA

General Provider Information

NPI Number : 1174292551
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNETH LI
Provider Business Mailing Address
First Line : 1849 S BENTLEY AVE APT 104
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-4326
Country : US
Telephone Number : 916-753-8192
Fax Number :
Provider Business Practice Location Address
First Line : 3200 N SEPULVEDA BLVD STE E4
Second Line :
City : MANHATTAN BEACH
State : CA
Zip : 90266-2469
Country : US
Telephone Number : 310-546-5568
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2021
Last Update Date : 09/09/2021

Similar Medicare Providers

1447413026 — DR. JONATHAN MARK STEIN O.D.
Practice Location Address:
3200 N SEPULVEDA BLVD STE E4
MANHATTAN BEACH, CA
90266-2469
Practice Phone: 310-546-5568
Practice Fax:
1427606508 — HEATHER NENOV OD
Practice Location Address:
3200 N SEPULVEDA BLVD STE E4
MANHATTAN BEACH, CA
90266-2469
Practice Phone: 310-546-5568
Practice Fax: 310-546-5421
1932757028 — DR. TATEVIK MANANIAN OD
Practice Location Address:
3200 N SEPULVEDA BLVD STE E4
MANHATTAN BEACH, CA
90266-2469
Practice Phone: 310-546-5568
Practice Fax:
1174196158 — VANESSA KURIKI OD
Practice Location Address:
3200 N SEPULVEDA BLVD STE E4
MANHATTAN BEACH, CA
90266-2469
Practice Phone: 310-546-5568
Practice Fax:
1487428603 — SAHAR BARDI
Practice Location Address:
3200 N SEPULVEDA BLVD STE E4
MANHATTAN BEACH, CA
90266-2469
Practice Phone: 310-633-4569
Practice Fax:
1326200296 — LAUREN CAPITINI MCCARTNEY MS, LMHC
Practice Location Address:
152 HOMBRE CIR
P C BEACH, FL
32407-2469
Practice Phone: 904-580-3823
Practice Fax:

Directions to “ KENNETH LI ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.