MEDICARE: WEILONG LI

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	183500000X	Pharmacist	77655	CA

General Provider Information

NPI Number	:	1952814089
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WEILONG LI

Provider Business Mailing Address
First Line	:	9432 VALLEY BLVD
Second Line	:
City	:	ROSEMEAD
State	:	CA
Zip	:	91770-1560
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 E WILLOW ST
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-3113
Country	:	US
Telephone Number	:	562-595-8588
Fax Number	:

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

Provider Enumeration Date	:	11/11/2017
Last Update Date	:	11/11/2017

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Directions to “ WEILONG LI ” Practice Location

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