MEDICARE: PEIZHEN LI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1316598527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PEIZHEN LI

Provider Business Mailing Address
First Line	:	528 E OAKEY BLVD # 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-1403
Country	:	US
Telephone Number	:	702-686-3372
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 BRUSH ST APT 327
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-4093
Country	:	US
Telephone Number	:	725-639-0099
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2019
Last Update Date	:	09/28/2019

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Directions to “ PEIZHEN LI ” Practice Location

Language	Start Address	Practice Location

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