Active NPI
Guodong Li M.D. Inc
- Pain Medicine Physician
- Beverly Hills, CA
National Provider Identifier
1447893813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- GUODONG LI M.D. INC
- Practice address
- 130 S Hamel Dr
Beverly Hills, CA 90211-2807 - Phone
- (310) 745-0393
- NPI assigned
- Oct 18, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Guodong Li, MD & PHD
- Title
- President
- Phone
- (310) 279-0711
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | |||
| Addiction Medicine (Anesthesiology) Physician | 207LA0401X | |||
| Pain Medicine Physician | 208VP0000X | Primary | ||
| Interventional Pain Medicine Physician | 208VP0014X |
Addresses
Primary practice location
130 S Hamel Dr
Beverly Hills, CA 90211-2807
Mailing address
PO Box 5486
Orange, CA 92863-5486
Phone (818) 550-0900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11645 Wilshire Blvd
Ste 978
Los Angeles, CA 90025
Phone (310) 289-8600
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589846400000",
"number": "1447893813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5486",
"city": "ORANGE",
"state": "CA",
"postal_code": "928635486",
"telephone_number": "818-550-0900",
"fax_number": "818-550-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 S HAMEL DR",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902112807",
"telephone_number": "310-745-0393"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUODONG LI M.D. INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-18",
"last_updated": "2020-05-19",
"certification_date": "2020-05-19",
"status": "A",
"authorized_official_last_name": "LI",
"authorized_official_first_name": "GUODONG",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-279-0711",
"authorized_official_credential": "MD & PHD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207LA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.