Weiguo Li, Md, Inc | |
25 S Raymond Ave Ste 111 Alhambra CA 91801-7142 | |
(626) 943-1818 | |
Not Available |
Full Name | Weiguo Li, Md, Inc |
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Speciality | Clinic/Center |
Location | 25 S Raymond Ave Ste 111, Alhambra, California |
Authorized Official Name and Position | Weiguo Li (PRESIDENT) |
Authorized Official Contact | 6269431818 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Weiguo Li, Md, Inc 25 S Raymond Ave Ste 111 Alhambra CA 91801-7142 Ph: (626) 943-1818 | Weiguo Li, Md, Inc 25 S Raymond Ave Ste 111 Alhambra CA 91801-7142 Ph: (626) 943-1818 |
NPI Number | 1699075465 |
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Provider Enumeration Date | 10/27/2010 |
Last Update Date | 10/27/2010 |
Medicare PECOS PAC ID | 7719171982 |
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Medicare Enrollment ID | O20101101001519 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699075465 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | A63308 (California) | Primary |
Provider Name | Weiguo Li |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972640142 PECOS PAC ID: 8426242694 Enrollment ID: I20101101001545 |
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