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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 7 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 1356375059 NPPES
California MEDICAID 00G449850

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