Provider Demographics
NPI:1942243910
Name:LI, SIQING (MD)
Entity Type:Individual
Prefix:
First Name:SIQING
Middle Name:
Last Name:LI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:650 W DUARTE RD
Mailing Address - Street 2:#206
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-7617
Mailing Address - Country:US
Mailing Address - Phone:626-462-9318
Mailing Address - Fax:626-462-9319
Practice Address - Street 1:650 W DUARTE RD
Practice Address - Street 2:#206
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-7617
Practice Address - Country:US
Practice Address - Phone:626-462-9318
Practice Address - Fax:626-462-9319
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA759302084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA75930Medicare ID - Type Unspecified