Basic Information
| Provider Information | |||||||||
| NPI: | 1275995490 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LI | ||||||||
| FirstName: | CATHLEEN | ||||||||
| MiddleName: | YI | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | D.O | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11618 SOUTH ST STE 214 | ||||||||
| Address2: | |||||||||
| City: | ARTESIA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 907016618 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6262153111 | ||||||||
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| Practice Location | |||||||||
| Address1: | 15725 WHITTIER BLVD STE 400 | ||||||||
| Address2: | |||||||||
| City: | WHITTIER | ||||||||
| State: | CA | ||||||||
| PostalCode: | 906032338 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5629471669 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/26/2016 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 20A14494 | CA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.