Provider Demographics
NPI:1851820534
Name:CAI, JUN LI SHARON (DO)
Entity Type:Individual
Prefix:DR
First Name:JUN LI
Middle Name:SHARON
Last Name:CAI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3605 ALAMO ST STE 101
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93063-2186
Mailing Address - Country:US
Mailing Address - Phone:805-522-6577
Mailing Address - Fax:
Practice Address - Street 1:3605 ALAMO ST STE 101
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93063-2186
Practice Address - Country:US
Practice Address - Phone:805-522-6577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-07
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA00009044208000000X
CA18483208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics