Li, Tina Grace
Li, Tina Grace is an individual health care provider with primary practice located at 9985 Sierra Ave , Fontana CA 92335-6720. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Li, Tina Grace can be contacted via phone (310) 497-0308.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | A71525 | California |
Profile Details
| NPI number | 1598787061 |
|---|---|
| LBN Legal business name | Li, Tina Grace |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598787061 | NPPES |
| California | Other | 00A715250 | MEDICAL PPIN # |
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