Provider Demographics
NPI:1487678041
Name:LI, JOHN JEFFREY (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:JEFFREY
Last Name:LI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7230 MEDICAL CENTER DR
Mailing Address - Street 2:#203
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-1907
Mailing Address - Country:US
Mailing Address - Phone:818-226-6811
Mailing Address - Fax:818-226-6810
Practice Address - Street 1:7230 MEDICAL CENTER DR
Practice Address - Street 2:#203
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-1907
Practice Address - Country:US
Practice Address - Phone:818-226-6811
Practice Address - Fax:818-226-6810
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAA85389207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease