| Diane Li Md, Inc | |
|
1000 Newbury Rd Suite 115 Newbury Park CA 91320-6435 | |
| (805) 490-8390 | |
| Not Available |
| Full Name | Diane Li Md, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1000 Newbury Rd, Newbury Park, California |
| Authorized Official Name and Position | Dan Li (OWNER) |
| Authorized Official Contact | 8054908390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Li Md, Inc 1000 Newbury Rd Suite 115 Newbury Park CA 91320-6435 Ph: (805) 490-8390 | Diane Li Md, Inc 1000 Newbury Rd Suite 115 Newbury Park CA 91320-6435 Ph: (805) 490-8390 |
| NPI Number | 1407288327 |
|---|---|
| Provider Enumeration Date | 08/01/2013 |
| Last Update Date | 08/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407288327 | NPI | - | NPPES |
| A86068 | Other | CA | CALIFORNIA MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A86068 (California) | Primary |
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