| Xin-nong Li M.d., Inc. | |
|
6600 Mercy Ct Ste# 130 Fair Oaks CA 95628-3158 | |
| (916) 961-3084 | |
| (916) 961-3018 |
| Full Name | Xin-nong Li M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 6600 Mercy Ct, Fair Oaks, California |
| Authorized Official Name and Position | Xin-nong Li (OWNER) |
| Authorized Official Contact | 9169613084 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Xin-nong Li M.d., Inc. 6600 Mercy Ct Ste# 130 Fair Oaks CA 95628-3158 Ph: (916) 961-3084 | Xin-nong Li M.d., Inc. 6600 Mercy Ct Ste# 130 Fair Oaks CA 95628-3158 Ph: (916) 961-3084 |
| NPI Number | 1184857658 |
|---|---|
| Provider Enumeration Date | 08/31/2009 |
| Last Update Date | 08/31/2009 |
| Medicare PECOS PAC ID | 2567518830 |
|---|---|
| Medicare Enrollment ID | O20090929000261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184857658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A67508 (California) | Primary |
| Provider Name | Xin Nong Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205804036 PECOS PAC ID: 6901906205 Enrollment ID: I20070716000760 |
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