| Karin C. Li Md A Professional Medical Corporation | |
|
13768 Roswell Ave Ste 215 Chino CA 91710-1407 | |
| (909) 325-2215 | |
| (888) 491-0615 |
| Full Name | Karin C. Li Md A Professional Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 13768 Roswell Ave Ste 215, Chino, California |
| Authorized Official Name and Position | Karin Chen Li (PRESIDENT) |
| Authorized Official Contact | 9093252215 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karin C. Li Md A Professional Medical Corporation Po Box 2240 Walnut CA 91788-2240 Ph: (951) 220-9796 | Karin C. Li Md A Professional Medical Corporation 13768 Roswell Ave Ste 215 Chino CA 91710-1407 Ph: (909) 325-2215 |
| NPI Number | 1801157896 |
|---|---|
| Provider Enumeration Date | 06/06/2012 |
| Last Update Date | 02/17/2023 |
| Medicare PECOS PAC ID | 9830343102 |
|---|---|
| Medicare Enrollment ID | O20130214000263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801157896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Karin C Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124205059 PECOS PAC ID: 5496814790 Enrollment ID: I20081031000142 |
| Provider Name | Angelique B Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003158353 PECOS PAC ID: 2264754290 Enrollment ID: I20141203000003 |
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