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NPI Code Detail

MEDICARE: LILIAN LI DO

MEDICARE:   LILIAN  LI  DO
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
1207Q00000XFamily Medicine Physician20A20729CA

General Provider Information

NPI Number : 1730717737
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILIAN LI DO
Provider Business Mailing Address
First Line : 253 S DIAMOND BAR BLVD
Second Line :
City : DIAMOND BAR
State : CA
Zip : 91765-1606
Country : US
Telephone Number : 909-860-1144
Fax Number : 909-860-8307
Provider Business Practice Location Address
First Line : 253 S DIAMOND BAR BLVD
Second Line :
City : DIAMOND BAR
State : CA
Zip : 91765-1606
Country : US
Telephone Number : 909-860-1144
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2020
Last Update Date : 10/03/2023

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Directions to “ LILIAN LI DO” Practice Location

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