Provider Demographics
NPI:1912320813
Name:LI, LIZHENG (MD)
Entity Type:Individual
Prefix:
First Name:LIZHENG
Middle Name:
Last Name:LI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:24218 HAWTHORNE BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505
Mailing Address - Country:US
Mailing Address - Phone:424-392-2557
Mailing Address - Fax:310-378-5698
Practice Address - Street 1:24218 HAWTHORNE BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-6597
Practice Address - Country:US
Practice Address - Phone:310-378-5698
Practice Address - Fax:310-378-5698
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-28
Last Update Date:2021-08-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
171100000X
CA59826225700000X
CA13718171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist