Provider Demographics
NPI:1851092704
Name:LI, RICHARD LONGFEI
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:LONGFEI
Last Name:LI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3686 E MARLENE DR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-1869
Mailing Address - Country:US
Mailing Address - Phone:480-438-3986
Mailing Address - Fax:
Practice Address - Street 1:3686 E MARLENE DR
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-1869
Practice Address - Country:US
Practice Address - Phone:480-438-3986
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-16
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program