MEDICARE: WAYNE HEALTH CENTER LLC

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	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1265323653
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WAYNE HEALTH CENTER LLC

Provider Business Mailing Address
First Line	:	480 E SWEDESFORD RD STE 115
Second Line	:
City	:	WAYNE
State	:	PA
Zip	:	19087-1834
Country	:	US
Telephone Number	:	215-813-9430
Fax Number	:	610-886-4488

Provider Business Practice Location Address
First Line	:	480 E SWEDESFORD RD STE 115
Second Line	:
City	:	WAYNE
State	:	PA
Zip	:	19087-1834
Country	:	US
Telephone Number	:	215-813-9430
Fax Number	:	610-886-4488

Authorized Official
Title or Position	:	PRESIDENT
Name	:	XIAOBIN LI
Credential	:	MD
Telephone Number	:	215-813-9430

Provider Enumeration Date	:	07/14/2025
Last Update Date	:	12/22/2025

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Directions to “WAYNE HEALTH CENTER LLC ” Practice Location

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