Provider Demographics
NPI:1396988416
Name:LI, LING (MD)
Entity type:Individual
Prefix:DR
First Name:LING
Middle Name:
Last Name:LI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3090 BRISTOL ST
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-3079
Mailing Address - Country:US
Mailing Address - Phone:714-619-8777
Mailing Address - Fax:714-503-8055
Practice Address - Street 1:36123 SCHOOLCRAFT RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-1216
Practice Address - Country:US
Practice Address - Phone:734-464-0887
Practice Address - Fax:734-402-0254
Is Sole Proprietor?:No
Enumeration Date:2009-04-20
Last Update Date:2024-10-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXS3548207Q00000X
MI4301099894207Q00000X
CAC189670207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine