Li, Mark W.
Li, Mark W. is an sole proprietor health care provider with primary practice located at 2440 S Hacienda Blvd Ste 105 , Hacienda Hts CA 91745-4763. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Li, Mark W. can be contacted via phone (626) 330-6003.Contact Information
Primary practice address
2440 S Hacienda Blvd Ste 105
Hacienda Hts CA 91745-4763
Phone: (626) 330-6003
Fax: (626) 330-8474
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | G44985 | California |
Profile Details
| NPI number | 1356375059 |
|---|---|
| LBN Legal business name | Li, Mark W. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 10th, 2006 |
| Last updated | May 24th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356375059 | NPPES |
| California | MEDICAID | 00G449850 |
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