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NPI Code Detail

MEDICARE: HONG LI MD

MEDICARE: HONG LI MD
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
1207ZC0500XCytopathology PhysicianA82023CA
2207ZD0900XDermatopathology (Pathology) PhysicianA82023CA
3207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianA82023CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1220005805OTHERCARAILROAD
2A82023OTHERCALICENSE

General Provider Information

NPI Number : 1497742027
Entity Type Code : Individual
Provider Name (Legal Business Name) : HONG LI MD
Provider Business Mailing Address
First Line : 7373 WEST LN
Second Line :
City : STOCKTON
State : CA
Zip : 95210-3377
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7373 WEST LN
Second Line :
City : STOCKTON
State : CA
Zip : 95210-3377
Country : US
Telephone Number : 209-476-5989
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2005
Last Update Date : 12/09/2021

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Directions to “ HONG LI MD” Practice Location

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