DR. SHYH MINE LII M.D. NPI 1922150267

NPI Information

NPI: 1922150267
Provider Name: DR. SHYH MINE LII, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 05D0944058

Address:
3859 ROSEMEAD BLVD
ROSEMEAD, CA
ZIP 91770
Phone: (626) 572-4044
Get Directions

DR. Shyh Mine Lii, M.D. is a general practice in Rosemead, CA with 41 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Shyh Mine Lii, M.D. NPI is 1922150267. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3859 ROSEMEAD BLVD
ROSEMEAD, CA
ZIP 91770-976
Phone: (626) 572-4044
Fax: (626) 572-0962

The NPI 1922150267 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 05D0944058 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 3/23/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		A48765	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	95-4838332	OTHER	CALIFORNIA	TAX ID
2	A48765	OTHER	CALIFORNIA	LICENSE NUMBER
3	A48765	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
4	95-4378100	OTHER	CALIFORNIA	TAX ID
5	00A487651	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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