| Jane Li Md Psychiatry, Inc. | |
|
290 Maple Ct Suite 107 Ventura CA 93003-3517 | |
| (805) 256-5527 | |
| Not Available |
| Full Name | Jane Li Md Psychiatry, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 290 Maple Ct, Ventura, California |
| Authorized Official Name and Position | Jane Li (PRESIDENT) |
| Authorized Official Contact | 8052565527 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jane Li Md Psychiatry, Inc. 290 Maple Ct Suite 107 Ventura CA 93003-3517 Ph: (805) 256-5527 | Jane Li Md Psychiatry, Inc. 290 Maple Ct Suite 107 Ventura CA 93003-3517 Ph: (805) 256-5527 |
| NPI Number | 1801330345 |
|---|---|
| Provider Enumeration Date | 12/16/2016 |
| Last Update Date | 12/16/2016 |
| Medicare PECOS PAC ID | 1951673177 |
|---|---|
| Medicare Enrollment ID | O20170823002932 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801330345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A104298 (California) | Primary |
| Provider Name | Jane Li |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922262724 PECOS PAC ID: 6103969787 Enrollment ID: I20100204000246 |
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