Physician Compare National (NPI:1285931782)

HEALTHCARE PROVIDER: CHUNG KAY LI P.A.; RPT

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

Individual Professional Information
NPI	1285931782
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8022307214
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170419000926
	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	CHUNG
	Individual professional first name
Provider Middle Name	KAY
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1979
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL THERAPY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1004 14TH AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	A
	Group Practice or individual's line 2 address
City	DELANO
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	932152246
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y