MEDICARE: MING CHUN 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	225200000X	Physical Therapy Assistant	54110	CA

General Provider Information

NPI Number	:	1629909270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MING CHUN LI

Provider Business Mailing Address
First Line	:	10356 GARVEY AVE STE B
Second Line	:
City	:	EL MONTE
State	:	CA
Zip	:	91733-2134
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10356 GARVEY AVE STE B
Second Line	:
City	:	EL MONTE
State	:	CA
Zip	:	91733-2134
Country	:	US
Telephone Number	:	626-406-4655
Fax Number	:

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

Provider Enumeration Date	:	05/25/2026
Last Update Date	:	05/25/2026

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Directions to “ MING CHUN LI ” Practice Location

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