Tina Leung

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT16441 Issued in CA

Practice address

7872 Walker St
La Palma, CA 90623-1796

Phone

(714) 527-8777

NPI assigned

Jun 18, 2017

Last updated

Sep 6, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Joshua International Medical GroupGroup PAC ID 4789854621, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3254/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Joshua International Medical Group

  dba Joshua Medical Group

  • Internal Medicine Physician
  • La Palma, CA
  • NPI 1215150529
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504656000000",
    "number": "1568992964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17518 PARKVALLE PL",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907038831",
            "telephone_number": "562-469-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7872 WALKER ST",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231796",
            "telephone_number": "714-527-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUNG",
        "first_name": "TINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2017-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT16441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mi Kyoung Lee, L.AC.
• Michelle Eunjoo Lee, D.O.
• Sandy Lee, DO
• Young Woo Lee
• Jessica Leigh
• Gregory Lewis
• Qiao-Ling Li, M.D.
• Licauco Tan Dental Corp
• Cecile Catherine Nazario Licauco, D.D.S.
• Angelica Kristine Agustin Licop, RPH

• Physical Therapist in La Palma, CA
• Providers in La Palma, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.