Healthcare Provider Details

I. General information

NPI: 1629909270
Provider Name (Legal Business Name): MING CHUN LI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10356 GARVEY AVE STE B
EL MONTE CA
91733-2134
US

IV. Provider business mailing address

10356 GARVEY AVE STE B
EL MONTE CA
91733-2134
US

V. Phone/Fax

Practice location:
  • Phone: 626-406-4655
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number54110
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: