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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

NPI # 1215127550
LBN Legal business name LORETTA M LI OD
Authorized official LORETTA LI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/01/2007
Last updated 08/01/2007 - About 19 years ago
Identifiers
CA License # 124597
CA License # 75147
CA Medicaid SD0075140
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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