MEDICARE: ROBERT ZHIHANG LI DDS

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	1223G0001X	General Practice Dentistry	110560	CA

General Provider Information

NPI Number	:	1225861933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT ZHIHANG LI DDS

Provider Business Mailing Address
First Line	:	1548 MARENDALE LN
Second Line	:
City	:	ARCADIA
State	:	CA
Zip	:	91006-1835
Country	:	US
Telephone Number	:	626-826-6920
Fax Number	:

Provider Business Practice Location Address
First Line	:	1062 E LAS TUNAS DR
Second Line	:
City	:	SAN GABRIEL
State	:	CA
Zip	:	91776-1633
Country	:	US
Telephone Number	:	626-282-2068
Fax Number	:

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

Provider Enumeration Date	:	08/20/2024
Last Update Date	:	08/20/2024

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