Provider Demographics
NPI:1124205059
Name:LI, KARIN C (MD)
Entity Type:Individual
Prefix:DR
First Name:KARIN
Middle Name:C
Last Name:LI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 2240
Mailing Address - Street 2:
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91788-2240
Mailing Address - Country:US
Mailing Address - Phone:951-220-9796
Mailing Address - Fax:888-491-0615
Practice Address - Street 1:13768 ROSWELL AVE STE 215
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-1407
Practice Address - Country:US
Practice Address - Phone:909-325-2215
Practice Address - Fax:888-491-0615
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-22
Last Update Date:2023-02-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA96828207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine