Provider Demographics
NPI:1770843054
Name:LI, MING CHARLES (MD)
Entity Type:Individual
Prefix:
First Name:MING
Middle Name:CHARLES
Last Name:LI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:26691 PLAZA STE 200
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-8582
Mailing Address - Country:US
Mailing Address - Phone:949-347-0600
Mailing Address - Fax:949-347-0746
Practice Address - Street 1:26691 PLAZA STE 200
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-8582
Practice Address - Country:US
Practice Address - Phone:949-347-0600
Practice Address - Fax:949-347-0746
Is Sole Proprietor?:No
Enumeration Date:2012-05-21
Last Update Date:2021-11-05
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Provider Licenses
StateLicense IDTaxonomies
CAA127280207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology