Provider Demographics
NPI:1437972205
Name:DR WAI-YEE LI, A MEDICAL CORPORATION
Entity type:Organization
Organization Name:DR WAI-YEE LI, A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:WAI-YEE
Authorized Official - Middle Name:
Authorized Official - Last Name:LI
Authorized Official - Suffix:
Authorized Official - Credentials:MD PHD
Authorized Official - Phone:626-888-9728
Mailing Address - Street 1:530 SOUTH LAKE AVENUE, STE 530
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-3515
Mailing Address - Country:US
Mailing Address - Phone:626-888-9728
Mailing Address - Fax:
Practice Address - Street 1:624 W DUARTE RD STE 101
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-9257
Practice Address - Country:US
Practice Address - Phone:626-888-9728
Practice Address - Fax:626-445-2738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-01
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty