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Contact Information

LORETTA M LI OD
9022 BOLSA AVE
WESTMINSTER, CA92683
 Phone: 714-892-3636
 Fax: 714-892-6273
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for LORETTA M LI OD · (Female)

NPI # 1215127550
Status Active
Credentials
Entity Individual
Enumeration date 08/01/2007
Last updated 08/01/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # 124597
  • CA License # 75147
  • CA Medicaid SD0075140
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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