Physician Compare National (NPI:1154463149)

HEALTHCARE PROVIDER: LEO LI MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1154463149
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9638214109
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100309000079
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LI
	Individual professional last name
Provider First Name	LEO
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1991
	Individual professional's medical school graduation year
Primary Specialty	INFECTIOUS DISEASE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	309 W BEVERLY BLVD
	Group Practice or individual's line 1 address
City	MONTEBELLO
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	906404308
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050350
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BEVERLY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050735
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WHITTIER HOSPITAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050169
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	PRESBYTERIAN INTERCOMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y