Li, Douglas

Li, Douglas is an individual health care provider with primary practice located at 1260 15Th St Ste 1024 , Santa Monica CA 90404-1145. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Pulmonology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Li, Douglas can be contacted via phone (310) 825-0867.

Contact Information

Primary practice address
1260 15Th St Ste 1024 Santa Monica CA 90404-1145
Phone: (310) 825-0867
Fax: (424) 259-8571
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X A108116 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A108116 California

Profile Details

NPI number 1932423225
LBN Legal business name Li, Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2010
Last updated Jan 24th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932423225 NPPES
California MEDICAID 0A1081160

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