| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 10/27/2010 |
| Last Update Date | 10/27/2010 |
| Medicare PECOS PAC ID | 7719171982 |
|---|---|
| Medicare Enrollment ID | O20101101001519 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699075465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A63308 (California) | Primary |
| Provider Name | Weiguo Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972640142 PECOS PAC ID: 8426242694 Enrollment ID: I20101101001545 |
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