Provider Demographics
NPI:1356573570
Name:LI, ANDREW (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
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Last Name:LI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2315 STOCKTON BLVD. - DEPARTMENT OF SURGERY
Mailing Address - Street 2:NAOB SUITE 6003
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2201
Mailing Address - Country:US
Mailing Address - Phone:916-734-7289
Mailing Address - Fax:310-533-1841
Practice Address - Street 1:2315 STOCKTON BLVD. - DEPARTMENT OF SURGERY
Practice Address - Street 2:NAOB SUITE 6003
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2201
Practice Address - Country:US
Practice Address - Phone:916-734-7289
Practice Address - Fax:310-533-1841
Is Sole Proprietor?:No
Enumeration Date:2009-08-20
Last Update Date:2020-11-23
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Provider Licenses
StateLicense IDTaxonomies
CAA113865208200000X, 2082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
No208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery