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NPI Code Detail

MEDICARE: CLARA LI PA-C

MEDICARE: CLARA LI PA-C
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1831915420
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLARA LI PA-C
Provider Business Mailing Address
First Line : 601 S WESTMORELAND AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90005-3902
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 601 S WESTMORELAND AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90005-3902
Country : US
Telephone Number : 213-738-7283
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2024
Last Update Date : 05/08/2026

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Directions to “ CLARA LI PA-C” Practice Location

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