Provider Demographics
NPI:1629219589
Name:CEN, LI Z
Entity Type:Individual
Prefix:MS
First Name:LI
Middle Name:Z
Last Name:CEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5564 N FIGUEROA ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90042-4120
Mailing Address - Country:US
Mailing Address - Phone:323-341-5100
Mailing Address - Fax:323-254-3947
Practice Address - Street 1:5564 N FIGUEROA ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90042-4120
Practice Address - Country:US
Practice Address - Phone:323-341-5100
Practice Address - Fax:323-254-3947
Is Sole Proprietor?:No
Enumeration Date:2009-03-23
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker