Douglas Li, MD | |
1260 15th St Ste 1024, Santa Monica, CA 90404-1145 | |
(310) 825-0867 | |
(424) 259-8571 |
Full Name | Douglas Li |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1260 15th St Ste 1024, Santa Monica, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932423225 | NPI | - | NPPES |
0A1081160 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0214X | Pediatrics - Pediatric Pulmonology | A108116 (California) | Secondary |
208000000X | Pediatrics | A108116 (California) | Primary |
Entity Name | Uc Regents |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982667663 PECOS PAC ID: 4587568829 Enrollment ID: O20031119001005 |
Entity Name | Childrens Hospital Los Angeles Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265530653 PECOS PAC ID: 0143126920 Enrollment ID: O20031211000522 |
Mailing Address | Practice Location Address |
---|---|
Douglas Li, MD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () - | Douglas Li, MD 1260 15th St Ste 1024, Santa Monica, CA 90404-1145 Ph: (310) 825-0867 |
Mina Rim Kang, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2121 Santa Monica Blvd, Santa Monica, CA 90404 Phone: 310-453-1324 Fax: 424-212-5921 | |
Suparna Jain, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1450 10th St., Suite 304, Santa Monica, CA 90401 Phone: 310-458-1714 Fax: 310-394-8754 | |
Linda R Nussbaum, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 901 Montana Ave, Suite C, Santa Monica, CA 90403 Phone: 310-393-9784 Fax: 310-393-0187 | |
Terrie Susie Ahn, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1245 16th St, Santa Monica, CA 90404 Phone: 310-481-4646 Fax: 310-899-7599 | |
Dr. Jamie Maria Wiggin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1260 15th St Ste 1024, Santa Monica, CA 90404 Phone: 424-259-8570 | |
Dr. Janet M Ma, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1245 16th St, Suite 125, Santa Monica, CA 90404 Phone: 310-315-8900 Fax: 310-315-8902 | |
Cara F. Natterson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1450 10th St, Suite 304, Santa Monica, CA 90401 Phone: 310-458-1714 Fax: 310-394-8754 |