Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0201X | Pediatric Allergist | A64596 | CA |
NPI | 1528260825 |
---|---|
Provider Name | Dr. Marilyn Li |
First Address | Pasadena, CA 91115-5041 |
Second Address | Alhambra, CA 91801-3892 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2007 |
Last Update Date | 08/07/2007 |