institution
Victor Li Md A Professional Medical
Addiction Medicine (Anesthesiology) Physician in Capitola, California
NPI 1538227897

Victor Li Md A Professional Medical is an Addiction Medicine (Anesthesiology) Physician based in Capitola, CA and is specialized in Addiction Medicine. Victor Li Md A Professional Medical practices in Capitola, CA. The NPI Number for Victor Li Md A Professional Medical is 1538227897 and holds a License No. A77617 (California).

The current practice location address for Victor Li Md A Professional Medical is 4140 Jade St, Capitola, CA and can be reached out via phone at 831-464-7246 and via fax at 831-576-2016.

Location: 4140 Jade St, Capitola, CA, 95010-3956
institution
Provider Profile Details
NPI Number
1538227897
Provider Name
Victor Li Md A Professional Medical
Credential
Provider Entity Type
Organization
Address
4140 Jade St, Capitola, CA, 95010-3956
Phone Number
831-464-7246
Fax Number
831-576-2016
Provider Enumeration Date
12/05/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A776170 01 CA BLUE SHIELD
A77617 01 CA BLUE CROSS
00A776170 05 CA
institution
Provider Business Practice Location Address Details
Address
4140 Jade St
City
State
Zip
95010-3956
Phone Number
831-464-7246
Fax Number
831-576-2016
person
Provider Business Mailing Address Details
Address
4140 Jade St
City
State
Zip
95010-3956
Phone Number
831-464-7246
Fax Number
831-576-2016
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Anesthesiology
Speciality
Addiction Medicine
Taxonomy
License No.
A77617 (California)
Definition
An anesthesiologist who specializes in the diagnosis and treatment of addictions.
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