Loretta M Li Od

LBN: Loretta M Li Od
Loretta M Li Od is an health care organization with primary practice located at 9022 Bolsa Ave , Westminster CA 92683. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Loretta M Li Od can be contacted via phone (714) 892-3636, or through Li, Loretta Mui Wan via phone (714) 892-3636.

Contact Information

Primary practice address
9022 Bolsa Ave Westminster CA 92683
Fax: (714) 892-6273
Website:
Authorized official contact:
Name: Li, Loretta Mui Wan Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 75147 California
Eye and Vision Services Providers / Optometrist 152W00000X 124597 California

Profile Details

NPI number 1215127550
LBN Legal business name Loretta M Li Od
DBA Doing business as
Authorized official Li, Loretta Mui Wan Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2007
Last updated Aug 1st, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215127550 NPPES
California MEDICAID SD0075140

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