| Doctor Name: | TIT S LI |
| NPI Number: | 1003844432 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | A25684 |
| Business Practice Address: | 819 W Cesar E Chavez Ave Los Angeles, CA - 900122130 |
| Business Phone Number: | 2136131255 |
| Business Fax Number: | 2136131256 |
| Mailing Address: | 6181 Gleneagles Cir, HUNTINGTON BEACH |
| State: | CA |
| Postal Code: | 92648 |
| Phone Number: | 7149608245 |
| Fax Number: | 7149608295 |
| NPI Enumeration Date: | 06/28/2006 |
| NPI Last Update Date: | 01/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A25684 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |