Basic Information
| Provider Information | |||||||||
| NPI: | 1447552328 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LI | ||||||||
| FirstName: | CHUNXIA | ||||||||
| MiddleName: | |||||||||
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| Credential: | M.D.,PH.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7300 N FRESNO ST | ||||||||
| Address2: | |||||||||
| City: | FRESNO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 937202941 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5594484555 | ||||||||
| FaxNumber: | 5594483512 | ||||||||
| Practice Location | |||||||||
| Address1: | 7300 N FRESNO ST | ||||||||
| Address2: | |||||||||
| City: | FRESNO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 937202941 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5594484555 | ||||||||
| FaxNumber: | 5594483512 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/25/2010 | ||||||||
| LastUpdateDate: | 12/15/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207QA0505X | A115430 | CA | Y | Allopathic & Osteopathic Physicians | Family Medicine | Adult Medicine |
No ID Information.