Li, Leo

Li, Leo is an individual health care provider with primary practice located at 309 W Beverly Blvd , Montebello CA 90640-4308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Li, Leo can be contacted via phone (818) 475-8014.

Contact Information

Primary practice address
309 W Beverly Blvd Montebello CA 90640-4308
Phone: (818) 475-8014
Fax: (562) 696-4238
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X G82244 California

Profile Details

NPI number 1154463149
LBN Legal business name Li, Leo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Mar 12th, 2010 - about 16 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 1154463149 NPPES
California Other 954767156 TAX ID
California MEDICAID 00G822440 TAX ID

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