Provider Demographics
NPI:1144252966
Name:CAI, LINGLI (MD)
Entity type:Individual
Prefix:
First Name:LINGLI
Middle Name:
Last Name:CAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6388
Mailing Address - Street 2:
Mailing Address - City:SAN PEDRO
Mailing Address - State:CA
Mailing Address - Zip Code:90734-6388
Mailing Address - Country:US
Mailing Address - Phone:310-225-3120
Mailing Address - Fax:310-698-7054
Practice Address - Street 1:24451 HEALTH CENTER DR
Practice Address - Street 2:PATHOLOGY DEPT
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-3689
Practice Address - Country:US
Practice Address - Phone:949-452-3562
Practice Address - Fax:949-452-3066
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA76723207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A767230Medicaid
CA00A767230Medicaid
CAI28574Medicare UPIN
CAWA76723BMedicare PIN
CAWA76723CMedicare PIN