| Daisy Li, Do, Inc. | |
|
1525 N El Dorado St Ste 1 Stockton CA 95204-5932 | |
| (209) 452-8368 | |
| Not Available |
| Full Name | Daisy Li, Do, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1525 N El Dorado St Ste 1, Stockton, California |
| Authorized Official Name and Position | Daisy Li (PRESIDENT) |
| Authorized Official Contact | 4158236976 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daisy Li, Do, Inc. 1525 N El Dorado St Ste 1 Stockton CA 95204-5932 Ph: () - | Daisy Li, Do, Inc. 1525 N El Dorado St Ste 1 Stockton CA 95204-5932 Ph: (209) 452-8368 |
| NPI Number | 1558933374 |
|---|---|
| Provider Enumeration Date | 07/12/2021 |
| Last Update Date | 07/12/2021 |
| Medicare PECOS PAC ID | 1951705847 |
|---|---|
| Medicare Enrollment ID | O20210816000579 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558933374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Daisy Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740770007 PECOS PAC ID: 6406250398 Enrollment ID: I20210816000645 |
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